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颌面部骨折1264例临床回顾分析
引用本文:周云凤,刘琦,李智,李祖兵. 颌面部骨折1264例临床回顾分析[J]. 中国口腔颌面外科杂志, 2018, 16(4): 348-351. DOI: 10.19438/j.cjoms.2018.04.011
作者姓名:周云凤  刘琦  李智  李祖兵
作者单位:武汉大学口腔医院 口腔颌面外科,湖北 武汉 430079
基金项目:国家自然科学基金(81271107)
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  
收稿时间:2018-03-01
修稿时间:2018-04-07

A retrospective study of 1264 cases of maxillofacial fractures
ZHOU Yun-feng,LIU Qi,LI Zhi,LI Zu-bing. A retrospective study of 1264 cases of maxillofacial fractures[J]. China Journal of Oral and Maxillofacial Surgery, 2018, 16(4): 348-351. DOI: 10.19438/j.cjoms.2018.04.011
Authors:ZHOU Yun-feng  LIU Qi  LI Zhi  LI Zu-bing
Affiliation:Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province, China
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.
Keywords:Oral and maxillofacial region  Retrospective study  Maxilla  Mandible  Rigid internal fixation  
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