外固定术与内固定术治疗口腔颌面部创伤的效果比较

赵文; 叶蕾; 贺娟

doi:10.7619/jcmp.201907028

外固定术与内固定术治疗口腔颌面部创伤的效果比较

External fixation versus internal fixation in the treatment of patients with oral and maxillofacial trauma

摘要

摘要:
目的比较外固定术与内固定术治疗口腔颌面部创伤的效果。
方法选取口腔颌面部创伤患者150例，随机分为对照组(n=75)与观察组(n=75), 分别采取外固定术、内固定术治疗。比较2组患者手术相关指标及恢复情况。
结果观察组手术时间、住院时间短于对照组，张口度大于对照组，术后感染、不愈合、皮糜、神经受损并发症发生率低于对照组，生活质量高于对照组，差异均有统计学意义(P < 0.05)。
结论与外固定术相比，内固定术可显著缩短口腔颌面部创伤患者术后恢复时间，提高手术效果。

Abstract:
Objective To compare the effect of external fixation and internal fixation on the treatment of patients with oral and maxillofacial trauma.
Methods Totally 150 patients with oral and maxillofacial trauma were randomly divided into control group (n=75) and observation group (n=75), and the patients in the two groups were treated with external fixation and internal fixation respectively. The operation indexes and recovery condition were compared between the two groups.
Results In the observation group, the operation time, hospital stay, degree of mouth opening, the incidence rates of postoperative infection, nonunion of wounds, skin erosion and nerve injury, and quality of life score were significantly better than those in the control group (P < 0.05).
Conclusion Compared with external fixation, internal fixation can significantly shorten the time of postoperative recovery and improve surgical efficiency in patients with oral and maxillofacial trauma.

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