| 黄豆,刘伟龙,贾雯昊,刘磊.颌面骨折治疗中应用不同内固定材料的效果比较[J].口腔材料器械杂志,2022,31(2):142-146. |
| 颌面骨折治疗中应用不同内固定材料的效果比较 |
| Comparison of the effect of different internal fixation materials in the treatment of maxillofacial fractures |
| 投稿时间：2020-09-29 修订日期：2020-09-29 |
| DOI：10.11752/j.kqcl.2022.02.15 |
| 中文关键词: 钛及钛合金植入物 颌面骨折 内固定 中长期并发症 |
| 英文关键词:Titanium and titanium alloy implant Maxillofacial fracture Internal fixation Medium and long term complication |
| 基金项目:国家863计划课题（编号：2011AA030107） |
| 作者 | 单位 | E-mail | | 黄豆 | 口腔疾病研究国家重点实验室, 国家口腔疾病临床医学研究中心, 四川大学华西口腔医院创伤整形外科, 成都 610041 | | | 刘伟龙 | 口腔疾病研究国家重点实验室, 国家口腔疾病临床医学研究中心, 四川大学华西口腔医院创伤整形外科, 成都 610041 | | | 贾雯昊 | 口腔疾病研究国家重点实验室, 国家口腔疾病临床医学研究中心, 四川大学华西口腔医院创伤整形外科, 成都 610041 | | | 刘磊 | 口腔疾病研究国家重点实验室, 国家口腔疾病临床医学研究中心, 四川大学华西口腔医院创伤整形外科, 成都 610041 | drliulei@163.com |
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| 中文摘要: |
| 目的 本研究旨在比较国产和进口的钛及钛合金内固定材料在颌面部骨折治疗中的中长期并发症。方法 观察2007年1月至2016年12月间收治的2 238例采用钛及钛合金材料进行内固定的颌面部骨折患者的中长期并发症进行，其中使用国产钛合金内固定材料共1 326例，使用进口钛合金内固定材料共912例。干预因素为钛及钛合金内固定材料的产地，观察指标为中长期并发症的发生率及构成比，包括感染、植入物松动外露、疼痛不适、干扰其他治疗等，其他观察指标包括二次手术取出率等。采用SPSS 19.0软件进行统计学分析。结果 国产组与进口组的并发症发生率分别为5.51%和5.92%，两者差别无统计学意义（P=0.710）。两组最主要的并发症为感染，其他依次为疼痛不适、妨碍其他治疗和植入物松动外露，各并发症的构成比在两组中无统计学差异（P=0.519）。国产组二次手术取出率为7.47%，进口组二次手术取出率为7.79%，差别无统计学意义（P=0.798）。对国产组和进口组的年龄、性别、骨折部位、材料类型及骨折类型等的比较结果显示差异均无统计学意义。结论 国产和进口钛及钛合金颌面部内固定材料在中长期并发症方面无明显差别，为降低医疗费用及患者负担，在临床工作中应首选国产内固定材料。 |
| 英文摘要: |
| Objective The study was aimed to observe and compare the medium and long term complications between the domestic and imported titanium alloy implants in the treatment of maxillofacial fracture. Methods We retrospectively analyzed a total of 2 238 cases of maxillofacial fractures treated with titanium alloy implants from January 2007 to December 2016. Among them, 1 326 cases of maxillofacial fractures were treated with domestic titanium alloy internal fixation materials, and 912 cases were treated with imported fixation materials. The primary predictor variable was the producing place of the implants. The outcome variables were the rate and constituent ratio of complications, such as infection, loosening, fracture and exposure of implants, interference with other treatment, pain and discomfort. Other observation indicators were the rate of secondary surgical removal, etc. All statistical analysis was performed using the SPSS 19.0 statistical software. Results The rates of the complications of domestic and imported groups were 5.51% and 5.92% respectively (P=0.710). The main complication was infection in both groups, following the pain and discomfort, and the next complications were loosening, exposure of implants and interference with other treatment. There was no statistical difference in the constituent ratio of the complications between the two groups (P=0.519). The removal rate was 7.47% in the domestic group, and 7.79% in the imported group (P=0.798). There was no significant difference in age, gender, fracture sites, material types and fracture types between domestic group and imported group. Conclusion These results suggested that there was no significant difference between domestic and imported titanium and titanium alloy implants in the medium and long term complications. In order to reduce the medical expenses and the burden of patients, domestic fixation materials should be the first choice in clinical work. |
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