摘要
目的:探讨下颌骨体部骨折坚强内固定最佳的方式。方法:对69例75处下颌骨体部骨折坚强内固定的方式随机分了3组:单钛板固定组、双钛板固定组、单钛板固定+牙固定组,术后半年复查。结果:3组并发咬合错乱的发生率分别为34.6%、12.5%、12%,单钛板固定组并发咬合错乱的发生率与其它两组比有显著性差异(P<0.01);3组并发神经损伤的发生率分别是0%、16.7%、0%,双钛板固定组并发神经损伤的发生率与其它2组比有显著性差异(P<0.01)。结论:下颌骨体部骨折且骨折两侧有牙的治疗采用单钛板固定+牙固定有较好的稳定性,不易损伤神经,是一种值得推广的固定方式。
Objective：To investigate the best fixed mode for the mandibular body fracture fixation.Methods：69 cases of mandibular body fracture fixation were divied into three groups by randomy：single titanium plate fixation group,double-plate fixation group,single titanium plate fixation and tooth fixation group,and reviewed after six months.Results：Incidences of occlusal disorders of the three groups were 34.6%,12.5% and 12%.There were statistically significantly difference between the single-plate fixation group and the other two groups（P 0.01）.Incidences of nerve injury of the three groups were 0%,16.7%,and 0%,there were statistically significantly difference between the double-plate fixation group and the other two groups（P0.01）.Conclusion：Single titanium plate and tooth fixation is a good treatment for mandibular body fracture with teeth on both sides.With good stability and impossibility to damage nerves,it is worthy of popularization in fixed mode.
出处
《口腔医学研究》
CAS
CSCD
2012年第12期1284-1285,共2页
Journal of Oral Science Research
关键词
下颌骨体部
骨折
内固定
固定方式
Mandibular body Fracture Internal fixation Fixed mode
