1001例口腔颌面部创伤患者临床分析

目的:通过对1001例口腔颌面创伤患者回顾分析,了解口腔颌面部创伤患者的流行病学特点。方法:对第四军医大学口腔医院口腔颌面外科2008年8月—2011年3月期间收治的1001例口腔颌面创伤患者的病历资料进行统计分析。结果:1001例口腔颌面创伤患者男女比为2.80∶1;20～29岁(30.07%)为发病的高峰年龄段;交通事故(48.45%)在致伤原因中居首位。在口腔颌面创伤中,下颌骨骨折573例,发生率最高。合并伤以眼部最多见(171例),其次为颅脑伤和四肢创伤。结论:口腔颌面创伤患者以骨折多见。骨折发生的数量、部位等与致伤原因、受力性质及相应部位的解剖结构有关。眼部创伤、颅脑创伤及四肢创伤为最常见的并发症,应予以充分重视,治疗时不可忽视全身状况。

A clinical analysis of 1001 oral and maxillofacial traumatic cases

PURPOSE: To analyze the epidemiological characters of oral and maxillofacial injuries by retrospective study of clinical data of 1001 hospitalized patients.METHODS: A retrospective review of patients admitted to the Stomatological Hospital of Fourth Military Medical University from,2008 to 2011 was carried out and statistical analysis of the data was performed.RESULTS: One thousand and one patients was treated and reviewed.The ratio of male to female was 2.80:1.30.07% of the patients were aged between 20 and 30 years.Road traffic accident was the major cause for facial injury(48.45%).A large proportion of facial injuries occurred on the lower face.The symphysis of mandible was most frequently involved(573 cases).The most common associated trauma was eye injury(171 cases),followed by craniocerebral injury and limb injury.CONCLUSION: Injury causes,stress nature and local anatomy are related to the number and position of the fracture.Eye injury,craniocerebral injury and limb damage are the most common complications and should give full attention.The patient’s general condition can not be neglected during treatment.