中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (4): 348-351.doi: 10.19438/j.cjoms.2018.04.011

• 论著 • 上一篇    下一篇

颌面部骨折1264例临床回顾分析

周云凤, 刘琦, 李智*, 李祖兵*   

  1. 武汉大学口腔医院 口腔颌面外科,湖北 武汉 430079
  • 收稿日期:2018-03-01 修回日期:2018-04-07 出版日期:2018-07-20 发布日期:2018-08-09
  • 通讯作者: 李智,E-mail:newzhilizhi@163.com;李祖兵, E-mail:lizubing@whu.edu.cn。*共同通信作者
  • 作者简介:周云凤(1990-),女,在读硕士研究生,E-mail:1793810660@qq.com;刘琦(1984-),男,博士,主治医师,E-mail:qiqi@whu.edu.cn。
  • 基金资助:
    国家自然科学基金(81271107)

A retrospective study of 1264 cases of maxillofacial fractures

ZHOU Yun-feng, LIU Qi, LI Zhi, LI Zu-bing   

  1. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province, China
  • Received:2018-03-01 Revised:2018-04-07 Online:2018-07-20 Published:2018-08-09

摘要: 目的:探讨和总结颌面部骨折的临床特点和治疗方法。方法:对我院2012年6月—2017年6月收治的1264例颌面部骨折住院病例进行回顾分析,包括年龄、性别、致伤原因、损伤部位、全身损伤及治疗方法。结果:男942例(74.53%),女322例(25.47%);20~50岁(59.10%)为好发年龄段;意外摔伤965例(76.35%);276例(21.84%)伴全身损伤,颅脑损伤120例(37.62%);1107例(87.58%)采用坚固内固定。结论:颌面部骨折中男性占大多数,意外摔伤是最主要的原因。颅脑损伤是最常见的并发症,开放复位内固定术是目前最主要的治疗方法:

关键词: 颌面部骨折, 回顾性研究, 上颌骨, 下颌骨, 坚固内固定

Abstract: PURPOSE:To analyze the epidemiological characteristics and treatment of maxillofacial fractures. METHODS: A retrospective clinical study was performed to assess 1264 patients' data, including age, gender, cause of fracture, site of fracture, associated systemic injuries and complications. RESULTS: There were 942(74.53%) males and 322(25.47%) females. The majority of fractures were found between 20 and 50 years old (59.10%). Nine hundred and sixty-five(76.35%) had accidental fall injuries, 276(21.84%) had systemic injuries, 120(37.62%) had brain and skull injuries. 1107(87.58%) were treated with rigid internal fixation. CONCLUSIONS: Males constitute the majority of maxillofacial fractures. The main cause of maxillofacial fractures is accidental fall injury, brain and skull injury are the most common complication.

Key words: Oral and maxillofacial region, Retrospective study, Maxilla, Mandible, Rigid internal fixation

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