临床口腔医学杂志2017，Vol.33Issue(12)：727-730,4.DOI:10.3969/j.issn.1003-1634.2017.12.007
两种入路下颧骨复合体骨折切开复位内固定的临床疗效观察
The study of surgical approach for the reposition and rigid fixation on zygomatic complexfractures
摘要
Abstract
Objective:To observe the clinical effect for the reposition and rigid fixation on zygomatic complexfrac-ture. Methods:Forty patients with zygomatic complexfracture which would be done the reposition and rigid fixation were ran-domly divided into two groups,that one was done with the surgical approach of coronal scalp incision,the other with the surgi-cal approach of mini-incision. Then,the operation time,bleeding amount,scores of pain(VAS),fractures and soft tissue re-covery,patient satisfaction were evaluated respectively. Results:The operation time in the coronal scalp-incision group was longer than in the mini-incision group. The bleeding amount in the coronal scalp-incision group was greater than in the mini-incision group. The pain of VAS in the mini-incision group was lower than in the coronal scalp-incision group in the 12 th, 24 th,36 th,48 th hour respectively. The restoration of fracture in the coronal scalp-incision group was better than in the min-i-incision group. The tissue recovery in mini-incision group was better than in the coronal scalp-incision group,and the pa-tient satisfaction score in the mini-incision group was higher than in the coronal scalp-incision group ( P<0. 05 ) . Conclu-sion:There is less operation time and pain,better recovery of soft tissues and higher satisfaction in the mini-incision group. It is a good surgical approach on the reposition and rigid fixation on zygomatic complexfracture on pooer tolerance,higher aes-thetic requirements patients.关键词
颧骨复合体骨折/内固定/VAS评分/骨折复位:病人满意度Key words
Zygomatic complexfracture/The rigid fixation/VAS score/Fractures recovery/Patient satisfaction分类
医药卫生引用本文复制引用
董正谋,聂鑫,陈渝斌,何海涛,刘鲁川,温秀杰..两种入路下颧骨复合体骨折切开复位内固定的临床疗效观察[J].临床口腔医学杂志,2017,33(12):727-730,4.基金项目
第三军医大学临床科研课题基金资助项目(2007D178) （2007D178）
