228例颌面部骨折临床分析

目的:分析和总结颌面部骨折的临床特点并探讨颌面部骨折的治疗情况。方法:收集我科1995年1月以来228例颌面部骨折患者的临床资料,对年龄、性别、致伤原因、骨折分布情况及合并全身损伤情况进行回顾性分析,同时总结各种治疗方法的特点和效果。结果:男性患者多于女性,高发年龄组为20～40岁,致伤原因以交通伤最常见。骨折分布以下颌骨骨折最为常见,其中颏部骨折发病率最高,合并伤中以上颌骨及颧骨、颧弓骨折最多。治疗方法包括急救、软组织损伤的处理和颌骨骨折的治疗。结论:本文总结的颌面部骨折的临床特点,治疗以恢复咬合关系为主,理想的方法是采用坚固内固定技术。

Clinical analysis of 228 maxillofacial bone fracture

Objective: To investigate the clinical status of maxillofacial bone fracture and its therapy. Methods: The clinical records of 228 maxillofacial bone fracture patients were collected and the various aspects such asage,gender,fracture cause and body injury were retrospectively investigated.The effects and characteristics of various therapeutic methods were analysised.Results: The male patients are more than female patients,and the patients in 20～40 age group are the commonest,and the commonest cause is traffic accidents.Mandible fracture appears most frequently and the highest is chin fracture.The commonest additional injuries are the frature of maxilla、zygomatic bone and zygomatic arch.Conclusion: The therapy of maxillofacial fracture emphasizes on the restoration of occlusion and the idealest method is internal rigid fixation.