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來源資料
頁籤選單縮合
題 名 | A Comparative Study of Various Fixation Methods for Mandibular Fracture=下頜骨骨折各種固定方法的比較 |
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作 者 | 曾文尚; 羅綸洲; 董東瓚; 陳昱瑞; | 書刊名 | 長庚醫學 |
卷 期 | 22:4 1999.12[民88.12] |
頁 次 | 頁565-571 |
分類號 | 416.26 |
關鍵詞 | 下頜骨骨折; 金屬板固定; 螺絲固定; 鐵絲固定; Mandibular fracture; Plate fixation; Lag screw fixation; Wire fixation; |
語 文 | 英文(English) |
中文摘要 | 背景:下頷骨骨折內固定法被認為是可以達到骨頭癒合的可靠方法,用全屬板和 螺絲固定可允許病人平期積極物理治療進而恢復正常下頷功能。然而很少有各種固定方法比 較的報告,本研究的目的是藉由言設計的評分問卷表來比較各種下顎骨骨折的固定方法。 方法:從1993年l月至1997年12月,共有101位下頷骨骨折的病人在長庚醫院接受治療。 骨折固定的方法,包括金屬板固定44位,螺絲固定30位,合併金屬板和螺絲固定15位,鐵 絲固定12位。我們評估手術時間和手術併發症。同時為了主觀評估手術結果,這些病人在術 後接受問卷調查問題,包括咬合,咀嚼,顏面對稱,嘴巴張開的寬度,和總體外觀。 結果:評估結果顯示在各組間有些項目有顯著的差異。用鐵絲固定方法的組別都需要上下頷 固定,而且固定需要較長時間。用堅牢固定方法的組別,包括金屬板固定,螺絲固定,合併 金屬板和螺絲固定,術後結果較用鐵絲固定方法的組別好。 結論:研究顯示用鐵絲固定方法的術後結果最差,而用螺絲固定或金屬板固定可以得到較佳 的短期和長期的結果。 |
英文摘要 | Background:Internal rigid fixation for mandibular fractures has been recognized as a reliable method for obtaining osteosynthesis. It may allow for early active physiotherapy and resumption of normal function. However, few studies have compared the various fixation methods. Methods: From January 1993 through December 1997, 101 patients with mandibular fractures, who were selected for study, received treatment using various fixation methods at the Craniofacial Center, Chang Gung Memorial Hospital. The fixation methods included plate fixation in 44 patients, lag screw fixation in 30, combined plate and lag screw fixation in 15, and wire fixation in 12. Clinical data assessment was performed by reviewing hospital records. For assessment of the long-term surgical results, the patients were asked to complete a questionnaire including questions which specifically targeted history regarding occlusion, mastication, facial asymmetry, width of mouth opening, and general appearance. Results: The outcome assessment showed statistically different results among the groups. The wire group required intermaxillary fixation more often and for a longer duration compared to the groups using plates and/or lag screws. The plate, lag screw, and combined plate and lag screw fixation groups had better total outcome scores, in particular for long-term dental occlusion and mastication function. Conclusion: This study shows that for mandible fractures, the more rigid types of fixation methods, i.e., plates and screws or lag screws, can offer better short and long-term outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。