[1]孙 强,朱 梅,邓佳蕴,等. 联合切口结合内镜辅助治疗颧骨颧弓骨折临床效果分析[J].中国美容医学,2019,(07):92-94.
　SUN Qiang,ZHU Mei,DENG Jia-yun,et al. Clinical Effect of Combined Incision Combined with Endoscopy in the Treatment of Zygomatic Arch Fracture[J].Medical Aesthetics and Beauty,2019,(07):92-94.
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 联合切口结合内镜辅助治疗颧骨颧弓骨折临床效果分析
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年07期
页码:
92-94
栏目:
出版日期:
2019-07-05

文章信息/Info

Title:
 Clinical Effect of Combined Incision Combined with Endoscopy in the Treatment of Zygomatic Arch Fracture

文章编号:
1008-6455(2019)07-0092-03
作者:
孙 强1; 朱 梅1; 邓佳蕴1; 张 杰2
Author(s):
SUN Qiang1; ZHU Mei1; DENG Jia-yun1; ZHANG Jie2
关键词:
[关键词]联合切口; 微型钛板; 内镜辅助下颧弓骨折切开复位内固定; 颧骨颧弓骨折
Keywords:
Key words: combined incision;  micro titanium plate;  endoscopic assisted zygomatic arch fracture open reduction and internalfixation;  comminuted zygoma fracture;  effect
分类号:
R782.2
文献标志码:
A
摘要:
[摘要]目的：探讨联合切口结合内镜辅助治疗颧骨颧弓骨折的临床效果。方法：选取2016年1月-2018年9月在笔者医院接受治
疗的56例颧骨颧弓骨折患者，按随机数字表法将其分为实验组和对照组，每组28例。实验组采用联合切口内镜辅助下颧弓骨
折切开复位内固定治疗，对照组采用联合切口结合微型钛板治疗。比较两组治疗效果、术后3个月双侧颧弓突度差值及面部软
组织对称性评分、术后并发症和患者满意度。结果：两组患者骨折断端复位良好，伤口均达到一期愈合。两组患者术后3个月
双侧颧弓突度差值无显著性差异[（1.21±0.32）mm vs（1.40±0.41）mm]（P＞0.05）。与术前比较，术后3个月两组患者面
部软组织对称性评分均明显降低，且两组间无显著性差异[（2.22±0.85）分 vs（2.18±1.10）分]（P ＞0.05）。两组总并
发症发生率无明显差异[10.71% vs 14.29%]（P＞0.05）。两组患者对术后颧弓外形、面部外形、张口受限及术后反应满意度
评分均无显著性差异[（8.14±1.11）分vs（8.23±1.05分）、（8.43±1.02）分vs（8.08±1.33）分、（8.50±1.14）分vs
（8.73±1.42）分、（8.65±1.23）分vs（8.89±1.10）分]（P ＞0.05）。结论：联合切口内镜辅助下颧弓骨折切开复位内固
定治疗颧骨颧弓骨折均可明显改善患者面部软组织对称性，平衡双侧颧弓突度，提高患者满意度，临床效果较好，安全性高。

Abstract:
Abstract: Objective To investigate the clinical effect of combined incision and micro titanium plate in treatment of comminuted
zygoma fracture. Methods 56 patients with comminuted zygoma fracture treated in our hospital from January 2016 to
September 2018 were selected and divided into the experiment group and the control group according to the random number
table method, 28 cases in each group. The experiment group was treated with combined incision and endoscopic assisted
zygomatic arch fracture open reduction and internal fixation, the control group was treated with combined incision and micro
titanium plate, the therapeutic effects, the difference of bilateral zygoma margin and the facial soft tissue symmetry scores,
postoperative complications and patient satisfaction of the 2 groups were compared. Results The fracture ends were well
restored of the 2 groups, and the wounds all reached the first stage of healing. The difference of bilateral zygoma margin at 3
months after the operation had no statistical difference between the 2 groups [(1.21±0.32) mm vs (1.40±0.41) mm] (P ＞0.05).
Compared with preoperation, the facial soft tissue symmetry scores of the 2 groups significantly decreased at 3 months after
the operation, and there was no statistical difference between the 2 groups [(2.22±0.85) scores vs (2.18±1.10) scores] (P ＞
0.05). The incidence of total complications had no statistical difference between the 2 groups [10.71% vs 14.29%] (P ＞0.05).
The satisfaction scores of posterior zygomatic arch shape, facial shape, mouth opening restriction and postoperative response
had no statistical difference between the 2 groups [(8.14±1.11) scores vs (8.23±1.05) scores, (8.43±1.02) scores vs (8.08±1.33)
scores, (8.50±1.14) scores vs (8.73±1.42) scores, (8.65±1.23) scores vs (8.89±1.10) scores] (P ＞0.05). Conclusion Combined
incision combined with endoscopic assisted zygomatic arch fracture open reduction and internal fixation for the treatment
of comminuted zygoma fracture can significantly improve the facial soft tissue symmetry, balance the bilateral sacral arch
protrusion, improve patient satisfaction, the clinical effect is good, and it has high safety.
更新日期/Last Update: 2019-07-26