数值化评分方法在预测下颌骨骨折术后合并症发生中的作用

目的 形成一个数值化评估骨折的得分系统，以研究接受骨折治疗患者的得分情况与外科手术术后合并症发生率之间的关系。方法 对68例下颌骨骨折接受小夹板内固定的患者进行研究。通过下颌骨骨折损伤评分方法对每处骨折进行评分，术后随访6个月，记录术后合并症发生情况。结果 患者骨折的得分值分布范围较广，但呈正态分布，合并症发生率随骨折严重性即骨折损伤评分值增大而增加。结论 此下颌骨骨折数值化评分系统可以为预测骨折严重性程度及术后合并症发生率较高的高危人群提供一个较为客观的评估方法。

Use of a mandibular fracture score to predict the development of complications

Objective To develope a numeric scoring system for mandibular fractures and investigate the relationship between the scoring of the fracture being treated and the incidence of complications after surgical treatment.Methods Sixty-eight adult patients treated with microplate were investigated.Each fracture was evaluated by using the mandibular trauma score.This score was based on clinical and radiologic presentation of each fracture line and ranks from 0 to 15 points.The patients were followed-up postoperatively for six months and the incidence of complications was documented.Results The scope of scoring value from the patients with mandibular fracture was wide,but indicated a homogenous distribution.The incidence of complications increased with the fracture severity,namely increasing score index of the fracture trauma.Conclusion The numeric scoring system for mandibular fracture allows an objective and standard assessment of the degree of severity of a fracture and the risky patients of complications after surgical treatrment.