[1] 柳 锋,王 敬,刘汉珍,等. 微创切口在下颌骨骨折整形修复中的应用研究[J].中国美容医学,2021,(2):46-49.
　 LIU Feng,WANG Jing,LIU Han-zhen,et al. Application of Minimally Invasive Incision in Plastic Repair of Mandibular Fracture[J].Medical Aesthetics and Beauty,2021,(2):46-49.
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 微创切口在下颌骨骨折整形修复中的应用研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年2期
页码:
46-49
栏目:
出版日期:
2021-02-10

文章信息/Info

Title:
 Application of Minimally Invasive Incision in Plastic Repair of Mandibular Fracture
文章编号:
1008-6455(2021)02-0046-04
作者:
 柳 锋; 王 敬; 刘汉珍; 杨 旋; 杨 念; 杨 琴; 曹雪娇; 黄卫东
Author(s):
 LIU Feng; WANG Jing; LIU Han-zhen; YANG Xuan; YANG Nian; YANG Qin; CAO Xue-jiao; HUANG Wei-dong
关键词:
 [关键词]下颌骨骨折; 微创切口手术; 切口复位内固定手术; 美容效果; 整形; 术后并发症
Keywords:
 Key words: mandibular fracture;  minimally invasive incision surgery;  incision reduction and internal fixation;  cosmetic effect; plastic surgery;  postoperative complications
分类号:
R782.2
文献标志码:
A
摘要:
[摘要]目的：探究微创切口手术治疗下颌骨骨折的美容效果、安全性及患者满意率。方法：回顾性分析笔者医院2015年1
月-2019年5月收治的125例下颌骨骨折患者临床资料，所有患者均采取手术治疗，其中62例采取口外颌周切口入路颌间结扎
手术治疗，将其作为对照组，63例患者采取微小切口进路坚固内固定手术治疗，将其作为观察组，比较两组患者手术时间及
术中出血量，术后美容效果、并发症发生率及术后疼痛持续时间，术后活动时间、软组织肿胀消退时间、骨折愈合时间及出
院时间；随访分析比较两组患者术后1年手术美容效果满意率。 结果：观察组患者手术时间与对照组相当（P ＞0.05），术
后出血量少于对照组（P ＜0.05）；观察组患者手术美容效果有效率96.83%，高于对照组的81.70%（P ＜0.05）；观察组患者
术后并发症发生率0.00%，低于对照组的8.06%（P ＜0.05）；观察组患者术后疼痛持续时间、术后活动时间、软组织肿胀消
退时间、骨折愈合时间及出院时间均短于对照组（P ＜0.01）；观察组患者1年后手术美容效果满意率98.41%，高于对照组的
85.48%（P ＜0.05）。结论：微创切口手术治疗下颌骨骨折美容效果良好，创伤小，患者术后恢复快，且满意率高，可作为
治疗下颌骨骨折的首选方法，但选择何种手术方法应综合考虑患者实际及临床情况。
Abstract:
Abstract: Objective To explore the cosmetic effect, safety and satisfaction rate of minimally invasive incision surgery for
mandibular fracture. Methods Retrospective analysis from January 2015 to May 2019 treated 125 cases of mandibular
fractures in patients with clinical data, all patients were treated with surgery, of which 62 cases take outlets incision into the
jaw jaw weeks between ligation treatment, as a control group, 63 patients were taken small incision approach strong internal
fixation surgery, as a group, compared two groups of patients with operative time and intraoperative blood loss, postoperative
patients with cosmetic effect, postoperative complications and duration of postoperative pain, postoperative patients with
activity time, soft tissue swelling subsided time, fracture healing time and discharge time. The follow-up analysis compared
the satisfaction rate of cosmetic surgery in the two groups 1 year after operation. Results The operation time of patients in the
observation group was the same as that in the control group (P ＞0.05), and the postoperative blood loss was less than that in
the control group (P ＜0.05). The effective rate of cosmetic surgery in the observation group (96.83%) was higher than that in
the control group (81.70%) (P ＜0.05). The postoperative complication rate (0.00%) in the observation group was lower than
that in the control group (8.06%)P ＜0.05. The duration of postoperative pain, postoperative activity time, regression time of
soft tissue swelling, fracture healing time and discharge time in the observation group were all shorter than those in the control
group (P ＜0.01). The satisfaction rate of cosmetic surgery in the observation group 98.41% was higher than that in the control
group 85.48%(P ＜0.05). Conclusion Minimally invasive incision surgery for the treatment of mandibular fracture has a good
cosmetic effect, with little trauma, good postoperative recovery, rapid recovery,and a high satisfaction rate, which is worthy of
promotion and application.
更新日期/Last Update: 2021-03-09