目的:探讨方丝弓治疗小儿下颌骨骨折与钛板内固定治疗的临床效果及患儿心理接受程度.方法:选择40例患者使用方丝弓治疗,并与40例使用钛板内固定治疗的患者比较,两组术后张口度变化,并统计患者对面部形态的满意分数及治疗的临床效果.结果:两组担心术后口腔异物感的问题上差异无统计学意义(P＞0.05),观察组担心术后影响面容和手术费用问题上均低于对照组(P＜0.05),张口度大于对照组(P＜0.05),观察组术后优良率高于对照组(P＜0.05),出院时患者对面部形态满意,分数高于对照组(P＜0.05).结论:方丝弓治疗小儿下颌骨骨折可较快恢复患儿的咀嚼功能,不影响面部容貌,临床效果可靠,更有利于患儿及家属的心理接受.%Objective To investigate the treatment of standard edgewise and titanium plate for mandibular fracture with clinical effect and psychological acceptance. Methods 40 cases used standard edgewise and 40 cases used titanium plate internal fixation,compared the two groups with mouth opening and statisticed the facial morphology satisfaction scores and clinical effect. Results The two groups with worry about postoperative oral foreign body sensation on the question had no difference (P>0.05), the observation group of concerns about postoperative effect of face and operation costs were lower than control group (P<0.05), the excellent and good rate was higher than control group (P<0.05) ,the degree of mouth opening was greater than control group (P<0.05) .facial morphology satisfaction scores was higher than control group (P<0.05). Conclusions Standard edgewise treatment for pediatric mandibular fractures may be faster recovery with masticatory function and do not affect the facial appearance.so its clinical effect is reliable, it is conducive to children and their families to accept.
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