本文選題：眼眶-上頜-顴骨 + 顴弓復(fù)合體骨折�。� 參考：《口腔醫(yī)學(xué)研究》2016年05期

【摘要】：目的:探討對(duì)眼眶-上頜-顴骨、顴弓復(fù)合體骨折采用改良耳顳-結(jié)膜-口內(nèi)聯(lián)合切口,行骨折切開復(fù)位內(nèi)固定術(shù)。方法:170例患者分為兩組:對(duì)照組(88例)采用常規(guī)冠狀-瞼下緣-口內(nèi)聯(lián)合切口,實(shí)驗(yàn)組(82例)采用改良耳顳-結(jié)膜-口內(nèi)聯(lián)合切口,均行骨折切開復(fù)位內(nèi)固定術(shù)。比較兩組患者的手術(shù)時(shí)間、術(shù)中出血量、切口長(zhǎng)度、術(shù)后切口腫脹及瘢痕程度、術(shù)后局部積液、面神經(jīng)及眶下神經(jīng)功能、耳顳區(qū)感覺功能、淚道損傷發(fā)生率、下眼瞼外翻及顳部凹陷的發(fā)生率、骨折復(fù)位的效果、患者滿意度,綜合評(píng)價(jià)治療效果。結(jié)果:兩組患者手術(shù)時(shí)間、術(shù)中出血量、切口平均長(zhǎng)度、術(shù)后切口腫脹及瘢痕程度、術(shù)后局部積液、面神經(jīng)功能障礙、耳顳區(qū)感覺障礙、淚道損傷發(fā)生率、下眼瞼外翻及面顳部凹陷的發(fā)生率、患者滿意度比較具有顯著性差異(P0.05)。兩組患者眶下神經(jīng)功能、骨折復(fù)位的效果比較無顯著性差異。結(jié)論:改良耳顳-結(jié)膜-口內(nèi)聯(lián)合切口具有切口隱蔽,損傷小,并發(fā)癥少等優(yōu)點(diǎn),值得在臨床上進(jìn)一步推廣應(yīng)用。
[Abstract]:Objective: to study the modified temporal-conjunctival-intraoral incision for the fracture of orbital maxillary zygomatic and zygomatic complex and open reduction and internal fixation of fracture. Methods 170 patients were divided into two groups: the control group (n = 88) was treated with conventional coronal-blepharo-intraoral incision (n = 82) and the experimental group (n = 82) was treated with modified temporal-conjunctival intraoral incision, all of which were treated with open reduction and internal fixation of fracture. The operative time, intraoperative bleeding, incision length, postoperative wound swelling and scar degree, postoperative local effusion, facial nerve and suborbital nerve function, auditory and temporal sensory function, lacrimal duct injury were compared between the two groups. The incidence of lower eyelid valgus and temporal depression, the effect of fracture reduction, patient satisfaction, comprehensive evaluation of treatment results. Results: the operation time, intraoperative bleeding volume, average incision length, postoperative wound swelling and scar degree, postoperative local effusion, facial nerve dysfunction, aural and temporal sensory disorders, lacrimal duct injury rate were observed in the two groups. The incidence of lower eyelid valgus and facial and temporal depression was significantly different from that of patient satisfaction (P 0.05). There was no significant difference in suborbital nerve function and reduction of fracture between the two groups. Conclusion: the modified temporal-conjunctivo-intraoral incision has the advantages of concealment, less injury and less complications, which is worthy of further clinical application.
【作者單位】： 新疆醫(yī)科大學(xué)第一附屬醫(yī)院頜面腫瘤外科;
【基金】：2012年國家自然科學(xué)基金(地區(qū)科學(xué)基金)(項(xiàng)目號(hào):31260229)
【分類號(hào)】：R782.4

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