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在骨断裂的开放或封闭缩小后,效率和下功能的评估

Amit B Lall¹, Mayank Singhal¹, Tanya Kusum²

¹Department of Oral and Maxillofacial Surgery, Santosh Dental Collage and Hospital, Santosh Deemed To Be University, Ghaziabad, NCR Delhi India.

Journal of maxillofacial and oral surgery

|November 27, 2025

概括

下骨折的开放式减少和内部固定 (ORIF) 与封闭式减少 (间固定) 相比,显示出更高的效率. 这两种方法都改善了功能,但ORIF在六周后显示出更高的效率.

科学领域:

口腔和牙面部外科手术
创伤外科手术创伤外科
重建性手术是一种重建性手术.

背景情况:

骨折是常见的面创伤,特别是在发展中国家.
治疗选择包括开放式减少和内部固定 (ORIF) 或封闭式减少 (间固定 - IMF).
骨折会损害下的承载能力和患者的功能,而效率是关键指标.

研究的目的:

评估和比较下骨骨折的ORIF和IMF后的效率和下功能.

主要方法:

一项涉及14名下骨折患者的比较研究,分为ORIF (组1) 和IMF (组2) 组.
评估的结果包括主观的效率 (问卷),临床闭塞和客观的下功能 (最大间口,突出,侧向外游,回流).

主要成果:

在ORIF组 (9名患者) 中,最大间开口 (MIO) 从19.69±6.60到33.11±5.25 (p<.001) 显著改善.
治疗后,效率在两组患者中均显著改善.
在第3周 (p=0.025) 和第6周 (p=0.003) 的群体之间观察到效率的显著差异,有利于ORIF.

结论:

功能 (口腔打开,闭塞) 在ORIF和IMF之间是可比的.
与手术前水平相比,ORIF和IMF都显著提高了效率.
在6周的随访期间,ORIF治疗的患者的效率明显高于IMF治疗的患者.

关键词:

骨骨折骨骨折骨骨折是一个消化器的效率消化器的效率开放的减少是公开的.

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