70例颧上颌复合体骨折类型与眶下神经损伤的相关分析

doi:10.19438/j.cjoms.2017.01.012

中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (1): 56-58.doi: 10.19438/j.cjoms.2017.01.012

70例颧上颌复合体骨折类型与眶下神经损伤的相关分析

苏佳楠^*, 徐晓峰^*, 徐兵

上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,上海市口腔医学重点实验室,上海 200011

出版日期:2017-01-20 发布日期:2017-02-27
通讯作者: 徐兵,E-mail：bingxu568@hotmail.com
作者简介:苏佳楠（1990-）,女,硕士研究生,E-mail：laodasjn@aliyun.com; 徐晓峰（1989-）,男,住院医师,E-mail：xuxiaofeng110@163.com。*并列第一作者
基金资助:
上海市科学技术委员会生物医药重点项目（15411951300）

Correlation between the pattern of zygomaticomaxillary complex fracture and infraorbital nerve injury: a clinical study in 70 patients

SU Jia-nan, XU Xiao-feng, XU-Bing

Department of Oral and Craniomaxillofacial Science, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Online:2017-01-20 Published:2017-02-27

摘要/Abstract

摘要： 目的比较不同类型颧上颌复合体（zygomaticomaxillary complex,ZMC）骨折后眶下神经的损伤情况。方法参照经典Zingg分类法,对2015年收治的70例单侧ZMC骨折进行分类,并测定其患侧与健侧眶下神经支配区皮肤的痛阈及两点辨别觉。利用不对称指数（asymmetry index,AI）对眶下神经损伤情况进行比较。应用SPSS19.0软件包对数据进行统计学分析。结果 70例ZMC骨折患者患侧眶下神经支配区均有不同程度感觉异常。对痛阈的测定结果显示,不同骨折类型间眶下神经损伤程度存在显著差异（P<0.05）;两点辨别觉测定结果显示,B型与C型较A型骨折神经损伤程度更严重（P<0.05）,B型与C型骨折间神经损伤无显著差异。结论 ZMC骨折容易引起眶下神经损伤, B型骨折患者神经损伤情况最重, A型骨折神经损伤最轻。

关键词: 颧上颌骨复合体骨折, Zingg分类, 眶下神经, 痛阈, 两点辨别觉

Abstract: PURPOSE: To investigate the association between infraorbital nerve sensory disturbances and zygomaticomaxillary complex (ZMC) fracture patterns. METHODS: Seventy patients with isolated unilateral ZMC fractures were examined on both uninjured and affected sides by using pain threshold test and two-points discrimination test. The fractures were classified according to classic Zingg's classification. Injury of the infraorbital nerve was expressed as asymmetry index (AI). SPSS19.0 software package was used for statistical analysis. RESULTS: The results suggested that neurosensory disturbance was present in all 70 patients with ZMC fracture. In the test of pain threshold, infraorbital nerve injury severity was different among different fracture patterns (P<0.05). Two-points discrimination test showed that infraorbital nerve injury was more severe in type B and C than in type A (P<0.05), but the difference between B and C was not significant. CONCLUSIONS: Infraorbital nerve injury is a common complication of ZMC fracture, type B fracture has the highest grade of nerve damage, while type A fracture has the lowest grade of nerve damage.

Key words: Zygomaticomaxillary complex fractures, Zingg's classification, Infraorbital nerve, Pain threshold, Two-points discrimination

中图分类号:

R782.4

苏佳楠, 徐晓峰, 徐兵. 70例颧上颌复合体骨折类型与眶下神经损伤的相关分析[J]. 中国口腔颌面外科杂志, 2017, 15(1): 56-58.

SU Jia-nan, XU Xiao-feng, XU-Bing. Correlation between the pattern of zygomaticomaxillary complex fracture and infraorbital nerve injury: a clinical study in 70 patients[J]. China J Oral Maxillofac Surg, 2017, 15(1): 56-58.

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70例颧上颌复合体骨折类型与眶下神经损伤的相关分析

Correlation between the pattern of zygomaticomaxillary complex fracture and infraorbital nerve injury: a clinical study in 70 patients

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