2461例颌面部骨折患者的回顾性分析

[Retrospective analysis of 2461 patients with maxillofacial fractures].

作者信息

Wang Ke, Peng Guo-guang, Wu Jun-wei, Ding Xu-xuan, Yan Xin, Xie Jian-ya

机构信息

Center of Oral Treatment, Guangzhou University of Traditional Chinese Medicine, Foshan Guangdong 528000, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2011 Mar;46(3):139-42.

PMID:21575433

Abstract

OBJECTIVE

To review the 2461 cases of maxillofacial fractures.

METHODS

From 2003 to 2009, 2461 maxillofacial fracture cases were treated in Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Traditional Chinese Medicine. Data regarding sex, age, cause of injury, occupation, geographic distribution, blood type, fracture site, multiple associated injuries, injury severity, the patient's first admitted department, treatment results were reviewed.

RESULTS

The male and female ratio was 4.28:1, 1424(57.86 %) patients were between 20 and 40 years of age. The most common cause of injury was road traffic accident (938 cases, 40.98%). People in tertiary industry (900 cases, 78.53%) were most vulnerable to injuries. The zygomatic complex (22.08%), nasal bone (20.67%) and mandible (16.35%) were the most frequent fracture sites, which were often associated with skull (21.74%), brain (38.36%) and soft tissue contusion injury (48.84%). 85.98% (2116/2461 cases), of patients' AIS score was less than 2. Orthopaedics (939/2461 cases, 38.16%) was the first admitted department.

CONCLUSIONS

The traffic accidents are the main cause of the maxillofacial fractures. Most injuries are found in the young and middle-aged people.

摘要

目的

回顾2461例颌面骨折病例。

方法

2003年至2009年，广州中医药大学附属佛山中医院共治疗2461例颌面骨折患者。对患者的性别、年龄、受伤原因、职业、地域分布、血型、骨折部位、合并伤、损伤严重程度、首诊科室、治疗结果等资料进行回顾性分析。

结果

男女比例为4.28∶1，年龄在20～40岁者1424例（57.86%）。最常见的受伤原因是道路交通事故（938例，40.98%）。第三产业人员最易受伤（900例，78.53%）。最常发生骨折的部位是颧骨复合体（22.08%）、鼻骨（20.67%）和下颌骨（16.35%），常合并颅脑损伤（21.74%）、脑部损伤（38.36%）和软组织挫伤（48.84%）。85.98%（2116/2461例）患者的简明损伤定级（AIS）评分小于2。首诊科室为骨科的患者有939例（2461例中的38.16%）。