下颌骨骨折临床病例264例回顾性研究

目的:研究分析下颌骨骨折的临床特点及治疗方法。方法:收集整理新疆医科大学第一附属医院口腔颌面外科1996年1月～2005年12月间下颌骨骨折住院患者264例,对其年龄、性别、受伤原因、骨折部位、骨折合并伤及治疗方法进行分析。结果:264例下颌骨骨折中男性多于女性,好发年龄为20～29岁;各类损伤原因中,车祸最多;骨折部位以颏部最多;最常见的合并伤为颌面部其他部位骨折,其中以上颌骨骨折的发生率最高;颌间牵引复位固定是本研究中最多的治疗手段,近年来已逐渐被坚强内固定所取代,并取得较好的治疗效果。结论:下颌骨骨折好发于青年男性,多由车祸引起,以颏部最多,合并面部其他部位骨折较多,坚固内固定是目前治疗下颌骨骨折的较好手段。

Retrospective clinical study of 264 mandibular fracture

Objective:To study the clinical characteristics and treatment of mandibular fracture.Methods:Two hundred and sixty-four patients with mandibular fracture who received treatment at the department of oral and maxillofacial surgery,were reviewed.And analyzed their age,sex,causes,anatomic site,coexisted wound and treatment.Results:Mandibular fracture occurred mainly in male,and between the age of 20 to 29 years;the major cause was traffic accidents;the most common site of mandibular fracture was chin;and the fracture of the middle face,especially the upper jaw fractures was the main coexisted wound with mandibular fracture;intermaxillary fixation was the main treantment,but has been replaced by internal fixation.Conclusion:Mandibular fracture occurred mainly in young male,and was caused by traffic accidence.Internal fixation is a satisfactory treatment nowadays.