摘要
目的：探究颧上颌复体骨折类型患者的骨折类型与眶下神经损伤的相关性。方法：选择我院2015年1月-2017年12月收治的50例颧上颌复合体骨折患者，根据Zingg标准将不同的骨折类型分为A、B、C3组，分别测定3组患者眶下神经损伤的痛觉和两点辨别觉，采用不对称指数（AI）对眶下神经损伤的程度进行评价及比较。结果：在痛觉测量值上，不同类型患者在眶下患侧皮肤痛觉有差异，痛觉AI值为A型〈C型〈B型（P〈0．05），其中B型骨折AI值显著大于A型和C型（P〈0．05）。在两点辨别觉上，AI值A型〈C型〈B型，B型与C型显著大于A型（P〈0．05），B型与C型无显著性差异（P〉0．05）。结论：颧上颌复合体骨折类型与眶下神经损伤程度存在一定联系，其中B型颧上颌复合体患者的眶下神经损伤最为严重，而A型骨折患者的损伤程度较轻，在患者的临床治疗中针对性选择手术方案，提高临床治疗效果。
Objective： ： To investigate the correlation between fracture type and infraorbital nerve injury in patients with zygomatic maxillary complex fracture. Methods： Fifty patients with zygomatic maxillary complex fractures admitted from January 2015 to December 2017 in our hospital were divided into three groups according to Zingg criteria： group A, B and C, and the infraorbital nerve injury Of pain and two points of discrimination, the use of asymmetry index （AI） of the inferior orbital nerve injury were evaluated and compared. Re- suits ： There was significant difference in the pain sensation between different types of patients with suborbital ipsilateral skin pain. The AI of pain sensation was type A 〈 type C 〈 type B （ P 〈 0.05 ）. The AI of type B fractures was significantly higher than type A and type C （ P 〈 0.05 ）. In the two - point discrimination, the AI value of type A was significantly lower than that of type A （ P 〈 O. 05 ）, but no sig- nificant difference was found between type B and C （ P 〉 0.05 ）. Conclusion： The type of zygomatic and maxillary complex fractures is related to the degree of infraorbital nerve injury. The type B zygomatic and maxillary complex has the most severe infraorbital nerve injury, while the type A fractures are less damaged. In the clinical treatment of patients, Sexual selection of surgical options to improve clinical outcomes.
作者
黎江
梁基洪
冯婷
LI Jiang, LIANG Ji- hong, FENG Ting(Department of stomatology,Yangjiang people＇s hospital, Guangdong 52950)
出处
《中国伤残医学》
2018年第11期25-26,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
颧上颌复合体骨折
眶下神经
损伤
相关性
Zygomatic maxillary complex fracture
Infraorbital nerve
Injury
Correlation
