中国组织工程研究

中国组织工程研究 ›› 2016, Vol. 20 ›› Issue (11): 1610-1615.doi: 10.3969/j.issn.2095-4344.2016.11.014

• 皮肤粘膜组织构建 skin and mucosal tissue construction • 上一篇    下一篇

颌间牵引钉联合小型或微型钛板内固定修复颌骨骨折

胡 超1，2，肖金刚1，胡文健3，王 雯4，潘 庆4，曾 昕5   

  1. 1西南医科大学附属口腔医院口腔颌面外科，四川省泸州市 646000；西南医科大学附属中医医院，2口腔科，3耳鼻喉科，四川省泸州市 646000；4西南医科大学附属口腔医院，四川省泸州市 646000；5西南医科大学教务处，四川省泸州市 646000
  • 收稿日期:2016-02-26 出版日期:2016-03-11 发布日期:2016-03-11
  • 通讯作者: 肖金刚，教授，主任医师，西南医科大学附属口腔医院，四川省泸州市 646000
  • 作者简介:胡超，男，汉族，1980年生，四川省泸州市人， 2006年泸州医学院毕业，医师。
  • 基金资助:
    国家自然科学基金(81371125)

Internal fixation with intermaxillary traction nail combined with small/mini-titanium plate in the treatment of mandibular fractures

Hu Chao1, 2, Xiao Jin-gang1, Hu Wen-jian3, Wang Wen4, Pan Qing4, Zeng Xin5   

  1. 1Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China; 2Department of Oral and Maxillofacial Surgery, 3Department of Otolaryngology, Hospital of Traditional Chinese Medicine, Southwest Medical University, Luzhou 646000, Sichuan Province, China; 4Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China; 5Office of Teaching Affairs, Southwest Medical University, Luzhou 646000, Sichuan Province, China
  • Received:2016-02-26 Online:2016-03-11 Published:2016-03-11
  • Contact: Xiao Jin-gang, Professor, Chief physician, Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
  • About author:Hu Chao, Physician, Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China; Department of Oral and Maxillofacial Surgery, Hospital of Traditional Chinese Medicine, Southwest Medical University, Luzhou 646000, Sichuan Province, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81371125

PDF

601

被引次数

20

摘要：

文章快速阅读：

文题释义：

颌间牵引钉联合微型钛板内固定：在治疗颌骨骨折中的应用十分广泛，由于该治疗方法更加贴合人体解剖学和生物功能学的要求，使得患者在治疗效果、恢复时间和生活质量等方面都有较大受益。
颌间牵引：是以上颌牙列或下颌牙列为支抗，或上下牙列互为支抗，利用橡皮圈的弹性，牵引对颌，并进行咬牙合改正。牵引的时间需长些，后期可换用弹力较小的橡皮圈，以利保持矫治效果。

 

背景：颌骨骨折常对患者工作生活造成严重影响，颌间牵引钉联合微型钛板相对于传统的牙弓夹板联合小型或微型钛板单独治疗，存在治疗时间短、固定效果好等优点，能帮助颌骨骨折患者改善所受颌面部等功能障碍，助其早日完成治疗。
目的：通过试验颌间牵引钉联合微型钛板内固定相对牙弓夹板联合小型或微型钛板治疗的优势，探究其对于颌骨骨折的疗效及其应用效果。
方法：选取2011年7月至2015年5月在西南医科大学附属口腔医院颌面外科住院治疗的颌骨骨折患者90例，随机分为对照组和观察组，每组各45例。对照组使用牙弓夹板联合小型或微型钛板内固定治疗，观察组采用颌间牵引钉联合小型或微型钛板内固定治疗。观察4-6个月。对比两组疗效，按照显效、有效及总有效率评价，观察各项颌面部功能，以及治疗后不良反应发生率，总结分析试验数据，评判其应用价值。
结果与结论：①总有效率：观察组总有效率、各项颌面部功能明显优于对照组(P < 0.05)；②两组患者牙周情况对照组治疗前后菌斑和软垢指数的上升程度明显高于观察组(P < 0.05)；治疗前后，观察组牙龈指数无显著变化，但对照组有明显上升(P < 0.05)；③不良反应发生例数：观察组明显少于对照组(P < 0.05)；④结果证实：颌间牵引钉联合小型或微型钛板内固定修复颌骨骨折效果较好，安全可靠。  

 ORCID: 0000-0002-7815-0987(胡超)

关键词: 组织构建, 组织工程, 颌间牵引钉, 内固定, 牙弓夹板, 微型钛板, 骨折治疗, 联合治疗, 颌骨骨折, 治疗效果, 应用价值, 国家自然科学基金

Abstract:

BACKGROUND: Mandibular fractures often harm patient’s work and life. Intermaxillary traction nail with small/mini-titanium plate, relative to traditional dental arch splint combined with small/mini titanium plate treatment alone, is characterized by short treatment time and good fixation effect, which can improve the maxillofacial dysfunction and promote the early completion of the treatment.
OBJECTIVE: To explore the curative effect of intermaxillary traction nail with mini-titanium plate versus dental arch splint combined with small/mini-titanium plate on mandibular fractures
METHODS: Ninety cases of mandibular fractures hospitalized at the Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Southwest Medical University in China from July 2011 to May 2015 were enrolled in this study. These patients were equivalently randomized into control group subjected to dental arch splint combined with small/mini-titanium plate and observation group subjected to intermaxillary traction nail with mini-titanium plate. All the patients were followed up for 4-6 months. Curative effects, including excellent and good rate and total efficiency, were compared between the two groups. Maxillofacial function and incidence of adverse reactions were observed and recorded, respectively, to analyze the experimental data and assess their clinical values.
RESULTS AND CONCLUSION: The total efficiency and the maxillofacial function were significantly better in the observation group than the control group (P < 0.05). Plaque and debris index was increased significantly in the control group compared with the experimental group before and after treatment (P < 0.05). The gingival index had no significant changes in the observation, but it was increased significantly in the control group before and after treatment (P < 0.05). The number of cases of adverse reactions was significantly less in the experimental group than the control group (P < 0.05). These results show that the effect of internal fixation with intermaxillary traction nail combined with small/mini-titanium plate mini titanium plate and mini titanium plate was good, safe and reliable.