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目的:分析总结面中部骨折坚强内固定的临床治疗方法及效果。方法:选取我院收治的100例面中部骨折病例,随机分为观察组(坚强内固定治疗)和对照组(常规性治疗)各50例,治疗面中部骨折1个月后,观察两组的治疗效果,记录相关数据,进行统计分析。结果:术后功能和面容明显改善,颌间固定、术后咬合情况良好。对照组中显效12例(占24%),有效8例(占16%),无效30例(占60%),总有效率为24%;观察组中显效48例(占96%),有效46例(占92%),无效2例(占4%),总有效率为96%。两组比较差异明显(P<0.01),具有统计学意义。结论:坚强内固定适用于面中部骨折,术后功能和面容恢复良好,具有重要的临床意义,但面中部骨折坚强内固定的手术方法入口一般以前庭沟切口及口内外联合切口,内固定板的放置是以恢复垂直和水平支柱为原则的。术后要注意避免术口感染,以减少颌干扰的发生。
OBJECTIVE: To analyze and summarize the clinical treatment and results of mid-face fracture with strong internal fixation. Methods: A total of 100 cases of middle facial fracture treated in our hospital were randomly divided into observation group (50 cases) and control group (50 cases) Treatment effect, record the relevant data for statistical analysis. Results: Postoperative function and face significantly improved, intermaxillary fixation, postoperative bite good. In the control group, 12 cases (24%) were effective, 8 cases (16%) effective, 30 cases (60%) ineffective, and the total effective rate was 24%. 48 cases 46 cases (92%), 2 cases (4%), the total effective rate was 96%. The difference between the two groups was significant (P <0.01), with statistical significance. Conclusion: The strong internal fixation is suitable for midfacial fractures, postoperative function and face recovery is good, has important clinical significance, but the surface of the midfacial fracture fixation with strong internal fixation of the anteromedial groove incision and joint incision, the internal fixation plate The placement is based on the principle of restoring vertical and horizontal pillars. Postoperative care should be taken to avoid surgery to reduce the incidence of jaw interference.