目的:探讨微型钛板坚固内固定联合颌间牵引在治疗颌骨骨折的疗效观察,为其临床治疗提供参考.方法:共纳入63例颌骨骨折患者,采用随机数字法平均分为两组,A组患者给予微型钛板坚固内固定治疗措施;B组在A组基础上联合给予颌间牵引治疗,并给予相应的对症支持治疗.随访3个月观察患者疗效及不良反应的发生情况.结果:治疗后两组间疗效比较结果显示:B组(微型钛板坚固内固定联合颌间牵引组)明显优于A组(单独微型钛板坚固内固定),总有效率分别为84.4%及54.8%,差异有统计学意义(P<0.05).治疗后两组间不良反应比较结果显示:A组(单独微型钛板坚固内固定)有1例出现移位现象,给予相应的固定矫正后恢复正常,B组(微型钛板坚固内固定联合颌间牵引组)患者及其他A组患者均无排异反应、移位、断裂,周围骨质无疏松、吸收等现象,亦未出现术后感染、牙齿损伤等并发症的发生.结论:微型钛板坚固内固定联合颌间牵引对治疗颌骨骨折有比较好的疗效,不仅可以改善患者症状、提高患者颌骨的功能,且不良反应少,值得临床推广应用.%Objective: To explore the efficacy of miniature titanium plate internal fixation combined with intermaxillary traction in mandibular fractures. Method: 63 patients with mandibular fractures were collected in this study. The patients were randomly divided into two groups: mandibular fractures miniature titanium plate internal fixation group ( A ) and miniature titanium plate internal fixation combined with intermaxillary traction group ( B ). Follow-up of 3 months, the clinical effect and adverse events was compared between the two groups. Result: The efficient in group A and B was 84.4% and 54. 8% , respectively. There was significant difference between the two groups( P〈0. 05 ) . 1 case in group A appear shift phenomenon. After corresponding fixed, the shift was corrected back to normal. In group B and the remain patient in group A, no phenomenon of rejection, shift, fracture, bone no loose, and bone absorption was found, and no postoperative infection, teeth damage, and other complications was found. Conclusion: It is effective of miniature ti-tanium plate internal fixation combined with intermaxillary traction in treatment of mandibular fractures. Which can improve the symptoms of patient and function of mandible with fewer side effects, and worthy of clinical application.
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