中国实用口腔科杂志

中国实用口腔科杂志

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颌面部骨折580例回顾性分析

郭 哲，徐 冰，杨鸣良，卢 利   

  1. 中国医科大学口腔医学院口腔颌面外科
  • 收稿日期:2008-07-08 修回日期:2008-09-08 出版日期:2008-09-09 发布日期:2008-09-09

  • Received:2008-07-08 Revised:2008-09-08 Online:2008-09-09 Published:2008-09-09

摘要：

目的 回顾性分析颌面部骨折患者的临床资料，对患者性别、年龄、致伤原因、合并损伤及治疗方法进行临床流行病学总结。方法 对中国医科大学口腔医学院2004年9月至2007年12月收治的580例颌面部骨折患者的病例资料进行统计和分析。结果 580例颌面部骨折患者男女比例为3.75：1。> 20 ~ 40岁为发生的高峰年龄段，占55.0%。骨折以5、8、9月份多发。交通事故在致伤原因中居首位，占57.24%。颌面部骨折类型以下颌骨骨折发生率最高，占61.72%。 伴有神经损伤者219例，其中以眶下神经损伤发生率最高，占47.94%。合并损伤以四肢损伤最为多见，占合并损伤患者的37.86%，颅脑损伤居第2位，占26.70%。颌面骨折治疗以坚固内固定为主要方式，占83.60%。结论 颌面部骨折发病率逐年上升，交通事故为主要致伤原因，发病人群以青壮年为主，坚固内固定为主要治疗方式。

关键词: 颌面部骨折, 流行病学, 坚固内固定

Abstract:

Retrospective analysis of 580 patients with facial fractures. GUO Zhe，XU Bing，YANG Ming-liang，LU Li. School of Stomatology，China Medical University，Shenyang 110002，China
Abstract：Objective To determine the causes and incidence of facial fracture by an epidemiologic retrospective study. Methods A total of 580 patients with facial fracture treated at Department of Oral and Maxillofacial Surgery， China Medical University， from September 2004 to December 2007， were investigated. Data regarding age， gender， cause of injury， associated systemic injures and treatments of facial fracture were reviewed. Results The male to female ratio of patients with facial fracture was 3.75：1 and 55.0% of patients were aged between 21 and 40 years. The most common cause of injury was traffic accident（57.24%）. The mandibular fracture was most frequently seen. Accompanied injuries to limbs happened in 78 patients（37.86%）， and injuries to brain and skull happened in 55（26.70%）. Conclusion The incidence of facial fracture has increased markedly in the past 3 years; traffic accidents are the main cause of the injury; the largest proportion of patients are found in the young adults and the internal rigid fixation is the most common and efficient treatment.

Key words: facial fracture, epidemiology, internal rigid fixation