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对儿科牙骨折的手术固定技术的比较分析:系统性审查

Razan Zantout¹, Imad Ashkar¹, Rawan Masarwa²

¹Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Jbeil, LBN.

|August 29, 2025

概括

结合的手术技术为儿童的牙骨折提供了卓越的结果, 实现100%的融合没有并发症. 后期方法很常见,但并发症率更高,需要进一步研究以改善患者的护理.

科学领域:

骨科手术
儿童创伤学
神经外科

背景情况:

儿童的牙骨折很少见,但可能导致严重的发病率.
对于前部,后部和组合固定技术的比较数据有限.
最佳的手术治疗策略需要进一步研究.

研究的目的:

系统地审查和比较儿童牙骨折前,后和联合固定的结果.
确定儿童复杂牙骨折最有效的手术方法.
为了指导未来的研究和临床实践.

主要方法:

按照系统审查和元分析 (PRISMA) 准则进行系统审查.
包括手术固定小儿牙骨折的研究.
使用乔安娜·布里格斯研究所的检查清单进行质量评估,并提取有关手术技术,融合率和并发症的数据.

主要成果:

在62例儿科病例中,最常见的是后部治疗 (66.1%),其次是前部治疗 (27.4%) 和联合治疗 (6.5%).
融合率:组合 (100%),后部 (92.7%),前部 (88.2%).
复发率:后部 (43.9%),前部 (可变),组合 (0%).

结论:

组合固定技术在复杂的儿科牙骨折中表现出卓越的疗效和安全性,实现了无并发症的优异融合率.
后部固定仍然是一个可行的选择, 但需要策略来缓解其高并发症率.
高质量的多中心研究对于标准化治疗和评估长期儿童牙骨折的结果至关重要.

关键词:

牙类动物牙骨折儿童医学手术固定手术的结果

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