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目的比较不同手术入路在颧骨骨折治疗中的临床效果。方法选取2005年1月至2011年4月于本院进行手术治疗的58例颧骨骨折患者为研究对象,将其随机分为A组与B组各29例,A组采用头皮冠状切口进行治疗,B组采用局部小切口入路进行治疗,后将两组患者的治疗效果、并发症发生率、满意率及术前、术后1个月、3个月的QOL评分进行比较。结果两组患者治疗效果差异无统计学意义(P>0.05),而B组并发症发生率低于A组,满意率高于A组,术后1个月、3个月的QOL评分均优于A组,差异有统计学意义(P<0.05)。结论局部小切口入路在颧骨骨折中的临床疗效较佳,并且对于改善患者的生存质量也优势明显。
Objective To compare the clinical effects of different surgical approaches in the treatment of zygomatic fractures. Methods Fifty-eight patients with zygomatic fractures undergoing surgery in our hospital from January 2005 to April 2011 were selected and randomly divided into group A and group B (n = 29). Group A was treated with scalp and coronal incision The patients in group B were treated with local small incision approach. The treatment effect, complication rate, satisfaction rate and QOL score of preoperative, postoperative 1 month and postoperative 3 months were compared between the two groups. Results There was no significant difference in therapeutic effect between the two groups (P> 0.05). The incidence of complications in group B was lower than that in group A, and the satisfaction rate was higher than that in group A. QOL scores at 1 month and 3 months after operation were all excellent In group A, the difference was statistically significant (P <0.05). Conclusion The local small incision in zygomatic fracture clinical efficacy is better, and to improve the quality of life of patients also have obvious advantages.