两种联合切口手术治疗眶-上颌-颧骨复合体骨折的对比研究

目的：对比研究冠状-睑下缘-口内联合切口手术与冠状切口联合口腔前庭沟切口手术治疗眶-上颌-颧骨复合体骨折的治疗效果。方法：选取2006年10月-2010年12月眶-上颌-颧骨复合体骨折患者136例，69例患者行冠状-睑下缘-口内联合切口手术，67例行冠状切口联合口腔前庭沟切口手术，分别命名为A组和B组，比较两组患者治疗效果，治疗效果用甲级、乙级和丙级表示。结果：A组治疗效果甲级、乙级、丙级分别为65．2％、30．4％、4．4％，B组治疗效果甲级、乙级、丙级分别为46．3％、29．8％、23．9％，A组治疗效果优于B组；A组术后并发症少于B组。结论：冠状-睑下缘-口内联合切口手术比冠状切口联合口腔前庭沟切口手术更好地治疗眶-上颌-颧骨复合体骨折，治疗效果好，并发症少，能更好地实现颧骨复位。

Comparative Study on Two United Incisions Treating on Orbital-Maxillary-Zygomatic Complex Fractures by Operation

Objective： To investigate comparatively treatment effectiveness between coronal-subciliary-intraoral united incision operation and coronal incision combined with oral cavity vestibular groove united incision operation treating on orbital-maxillary-zygomarie complex fractures. Methods： 136 orbital-maxillary- zygomatie complex fracture patients were selected from October, 2006 to December, 2010. 69 patients were treated by coronal-subciliary-intraoral united incision operation, and 67 patients were treated by coronal incision combined with oral cavity vestibular groove united incision operation. The two groups were called group A and group B. The treatment effectiveness was used in contrasting between group A and group B, and first rate, second rate, third rate were indicated for treatment effectiveness. Results： The first rate, second rate, third rate of group A＇s treatment effectiveness were 65.2%, 30.4%, 4.4%, and The first rate, second rate, third rate of group B＇s treatment effectiveness were 46.3%, 29.8%, 23.9%. The treatment effectiveness of group A was better than group B＇s. The postoperative complications of group A were less than group B＇s. Conclusion： Treating on orbital-maxillary- zygomatic complex fractures, coronal-subciliary-intraoral united incision operation is better than coronal incision combined with oral cavity vestibular groove united incision operation. It has better treatment effectiveness, less postoperative complications and better zygomatic bone reset.