Department of Ophthalmology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Eur J Trauma Emerg Surg. 2019 Oct;45(5):893-900. doi: 10.1007/s00068-018-0950-7. Epub 2018 Apr 12.
This study examined a single center's experience with regards to etiology and distribution of fractures treated from July 2015 to August 2016 in Shanghai, China.
The medical records of 621 patients with craniomaxillofacial fractures were reviewed. Patient notes and radiographic images were analyzed for detailed injury data. Age, gender, etiology, and site of fracture were examined. Chi-square test was used to analyze the causes of single and multiple fractures. p < 0.05 was considered statistically significant.
This study included 426 male and 195 female with a male-to-female ratio of 2.18:1, among which 28.3% were between 19 and 29 years (n = 176). In all the fracture sites, orbit was most commonly involved (n = 319, 51.4%). Traffic accidents (n = 304, 49%) were the most common cause of injury in this study, while ground-level falls were the most common cause of injury in children (n = 19, 41.3%). The probability of multiple fractures due to falling from height (88.6%, p < 0.05) and traffic accidents (73.3%, p < 0.05) were significantly higher than that of other injuries. Orbital fractures have the highest surgical rate (n = 288, 90.3%).
Craniomaxillofacial fractures predominantly occur in young men, due to traffic accidents. Orbit was involved in most cases. Falling from height and traffic accidents is more likely to cause multiple fractures.
本研究旨在探讨中国上海某单一中心 2015 年 7 月至 2016 年 8 月期间收治的颅颌面骨折的病因和分布情况。
回顾了 621 例颅颌面骨折患者的病历。分析患者病历和影像学图像以获取详细的损伤数据。检查患者的年龄、性别、病因和骨折部位。采用卡方检验分析单发和多发骨折的原因。p＜0.05 被认为具有统计学意义。
本研究纳入了 426 例男性和 195 例女性患者，男女比例为 2.18:1，其中 28.3%（n=176）年龄在 19-29 岁之间。在所有骨折部位中，眼眶最常受累（n=319，51.4%）。在本研究中，交通事故（n=304，49%）是最常见的损伤原因，而儿童最常见的损伤原因是平地跌倒（n=19，41.3%）。高处坠落（88.6%，p＜0.05）和交通事故（73.3%，p＜0.05）导致多发骨折的概率明显高于其他损伤。眼眶骨折的手术率最高（n=288，90.3%）。
颅颌面骨折主要发生在年轻男性，因交通事故所致。大多数情况下眼眶受累。高处坠落和交通事故更容易导致多发骨折。
