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題名 | 下頜骨骨折的外科治療--傳統鋼絲固定法與小鋼板之比較 |
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作者 | 簡守信; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 24:3 民80.05-06 |
頁次 | 頁701-709 |
分類號 | 416.413 |
關鍵詞 | 下頜骨骨折; 外科治療; 鋼絲固定法; 小鋼板; |
語文 | 中文(Chinese) |
中文摘要 | 花東地區車禍頓繁,肇事工具多為摩托車。花蓮慈濟醫院自1988年8月至1990年5月共經歷了80例需要手術處理的顏面骨折病例,選取其中沒有合併其他部位骨折的下頜骨骨折40例,依其手術方法分為兩組,一組是以傳統的骨折處鋼絲固定加上上下牙齒固定術, 另一組則以小鋼板加上短期上下牙齒周定術處理,各20例。以比較兩組病人之間刀時間、術後住院日數、體重減輕程度及併發症多寡。術後住院日數兩組並沒有明顯差異。開刀時間以傳統鋼絲周定者稍快,但隨著對於小鋼板技術的熟練,兩組亦無明顯差異。體重減輕的程度在傳統鋼絲周定組較多(平均5.1 kg)。小鋼板組則只有2.7 kg。以小鋼板治療下頜骨骨折,雖然醫療費用較高,但術後發生併發症較少;病人減少因上下牙齒長期固定在飲食、說話方面的不方便;口腔街生及營養狀態均較易維持;也可減少因病人無法確實遵循醫囑、無法忍受4-6個星期之上下牙齒周定而自行除去鋼絲所產生的併發症,其結果要優於傳統的鋼絲周定。 |
英文摘要 | The eastern part ofTaiwan has a higher incidence of motorvehicle accidents, with predominant motorcycle accidents. From Aug., 1988 to May, 1990, Tzu Chi Buddhist General Hospital had 80 cases of facial fractures managed surgically. 40 cases of isolatedly mandibular fractures from these records were selected and assigned to two groups, 20 cases each, depending on the modalities of treatment. Group A was managed with interosseous wiring and intermaxillary fixation. Group B was treated with miniplates, screws and a short period of intermaxillary fixation. The duration of operation, the days of postoperation hospitalization, the range of body weight loss, cost, and complications were analyzed and compared between these two groups. The group treated with miniplates has shown the advantage of shortening the duration of intermaxillary fixation, lessening complications, improving oral hygiene and nutritional conditions. |
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