Department of Oral and Maxillofacial Surgery, Chung Shan Medical University Hospital, Taichung City.
School of Dentistry, College of Oral Medicine, Chung Shan Medical University, Taichung City.
J Int Med Res. 2020 Jul;48(7):300060520915059. doi: 10.1177/0300060520915059.
To analyse the epidemiology of mandibular fractures and the correlation between combined fractures during a 10-year period in central Taiwan.
This retrospective study analysed data collected from the medical records of patients that had mandibular fractures between January 2007 and October 2017. Data on age, sex, cause of injury, anatomical site of fracture, treatment and complications were obtained and analysed.
A total of 265 patients who received treatment were included in the study. The mean ± SD age was 30.08 ± 13.47 years (range, 6-70 years) and the 21-30 years age group showed the highest incidence of mandibular fractures. The male-to-female ratio was 1.25:1. Road traffic accidents were the most common cause of fracture (206 of 265; 77.74%). The symphysis and parasymphysis area was the most common fracture site (169 of 420; 39.29%). Single-site fracture represented slightly more than 50% of the total 420 fractures. The most frequent combination of two fractures was an angle fracture combined with a symphysis and parasymphysis fracture (29 of 106 double fracture patients [27.36%]). There was a weak positive association between several combinations of fractures.
A better understanding of the influence of age and sex on the mechanism of injury is of great clinical importance in the assessment and diagnosis of fractures.
分析台湾中部地区 10 年间下颌骨骨折的流行病学特征及合并骨折的相关性。
本回顾性研究分析了 2007 年 1 月至 2017 年 10 月间因下颌骨骨折接受治疗的患者的病历资料。收集了患者的年龄、性别、受伤原因、骨折部位、治疗方法和并发症等数据,并进行了分析。
共纳入 265 例接受治疗的患者。患者的平均年龄为 30.08±13.47 岁(范围:6-70 岁),21-30 岁年龄组的下颌骨骨折发生率最高。男女比例为 1.25:1。道路交通伤是最常见的骨折原因(265 例患者中有 206 例,占 77.74%)。正中联合和颏旁区是最常见的骨折部位(420 例骨折中有 169 例,占 39.29%)。单发骨折占总 420 例骨折的 50%以上。两种骨折最常见的组合是角部骨折合并正中联合和颏旁区骨折(106 例双骨折患者中有 29 例,占 27.36%)。几种骨折组合之间存在弱正相关。
了解年龄和性别对损伤机制的影响,对于评估和诊断骨折具有重要的临床意义。