颌面部创伤318例临床回顾分析

【目的】对口腔颌面部创伤患者性别、年龄、致伤原因、骨折特点及合并损伤等进行临床流行病学总结。【方法】对我科2005年1月-2008年6月间住院治疗的318例口腔颌面部创伤患者的病历资料进行统计和分析。【结果】318例口腔颌面部创伤患者男女比例为3．03：1；20～40岁为发病的高峰年龄段；在颌面部骨折中以下颌骨骨折多见，占颌面部骨折的40．8％；交通事故（48．4％）在致伤原因中居首位；合并损伤以颅脑损伤最多见。【结论】颌面部创伤住院患者以交通事故伤多见。颌面部创伤骨折中以下颌骨骨折多见。骨折发生的数量、部位等与致伤原因、受力部位及相应的解剖结构有关。颅脑损伤为最严重的并发症，应引起重视。

Clinical analysis of 318 patients with facial injuries

Objective] To detetennine the causes and incidence of facial injuries by epidemiologic retrospective study Methods] A total of 318 patients treated at our department from January 2005 to June 2008 were investigated. Data regarding age, gender, cause of injury, pattern of fracture and associated systemic injuries were reviewed. Results] The male to female ratio of the patients with facial injuries was 3.03：1 and 53.8% of patients were aged between 20 and 40 years.The mandibular fracture （40.8%） was the most frequently seen.The most common cause of injury was traffic accident （48.4%） . Conclusions] Traffic accident is the major etiologic factor for facial fracture. Mandibular fracture is more common in hospitalized patients with facial injuries. The number and sites of fracture are related to the cause of injury and anatomic structure of the bone. Brain and skull injuries are the most often and seriously accompanied injuries, and should not be negiected.