| 朱彦来,钟志强,徐新宇,高 崇.内固定术在口腔颌面部创伤治疗中的应用效果探讨[J].中国烧伤创疡杂志,2018,(6):408~412. |
| DOI： |
| 中文关键词: 内固定术 外固定术 口腔颌面部 创伤 治疗效果 |
| 英文关键词:Internal fixation External fixation Oral and maxillofacial Trauma Curative effect |
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| 中文摘要: |
| 【摘要】 目的 探讨内固定术在口腔颌面部创伤治疗中的临床疗效。方法 回顾性分析2016 年2 月—2017年4 月周口市中医院收治的分别采用内固定术(观察组, 45 例) 与外固定术(对照组, 45 例) 治疗的90 例口腔颌面部创伤患者的病历资料, 对比两种治疗方法的手术时间、术后住院时间、SF-36 量表评分、感染率及临床疗效。结果 观察组患者的手术时间为(51.02±2.10) min、术后住院时间为(4.21±1.25) d、术后1 个月的SF-36 量表评分为(89.24±6.24) 分, 对照组患者的手术时间为(68.14±5.21) min、术后住院时间为(6.62±2.51) d、术后1 个月的SF-36 量表评分为(71.21±9.25) 分, 两组患者手术时间、术后住院时间及术后1 个月的SF-36 量表评分对比, P 均<0.01, 差异具有统计学意义; 治疗过程中, 观察组患者中发生感染者4 例、感染率为8.89%, 对照组患者中发生感染者11 例、感染率为24.44%, 两组对比, P <0.05, 差异具有统计学意义; 术后1个月观察组患者中显效30 例、有效15 例、治疗总有效率为100%, 对照组患者中显效18 例、有效17 例、无效10例、治疗总有效率为77.78%, 两组对比, P <0.01, 差异具有统计学意义。结论 口腔颌面部创伤患者行内固定术治疗, 可有效缩短手术时间及术后住院时间, 降低感染率, 改善生活质量, 提高治疗效果, 疗效显著。 |
| 英文摘要: |
| 【Abstract】 Objective To investigate the clinical efficacy of the internal fixation in the treatment of oral and maxillofacial traumas. Methods Ninety patients with oral and maxillofacial traumas that were admitted into Zhoukou Hospital of TCM between February 2016 and April 2017 and accepted the internal fixation (observation group, 45 patients) or the external fixation (control group, 45 patients) were retrospectively analyzed to compared the operation length, post-operation hospitalization duration, infection rate, total effective rate and SF-36 score of the two fixation methods. Results In the observation group, the operation length was (51.02±2.10) min, post-operation hospitalization duration was (4.21±1.25) d,the SF-36 scores one month after operation was (89.24±6.24) points, and when compared with the corresponding(68.14±5.21) min, (6.62±2.51) d and (71.21±9.25) points in the control group, the differences were statistically significant, all P<0.05. During the treatment course, there were respectively 4 patients and 11 patients developed infection in the observation group and the control group, and the infection rates were 8. 89% and 24. 44% respectively, which showed statistically significant difference, P<0.05. One month after operation, in the observation group, marked effectiveness was observed in 30 patients, effectiveness in 15 patients, with the total effective rate being 100%, while in the control group, marked effectiveness was observed in 18 patients, effectiveness in 17 patients, ineffectiveness in 10 patients, with the total effective rate being 77.78%, between which the comparison showed statistically significant difference, P<0.01. Conclusion The internal fixation in the treatment of oral and maxillofacial traumas can realize great curative effects, such as effectively shortening the operation length and post-operation hospitalization duration, decreasing infection rate and improving patients’ quality of life. |
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