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面部骨折。368例病例回顾。

Facial fractures. A review of 368 cases.

作者信息

Afzelius L E, Rosén C

出版信息

Int J Oral Surg. 1980 Feb;9(1):25-32. doi: 10.1016/s0300-9785(80)80003-2.

DOI:10.1016/s0300-9785(80)80003-2
PMID:6769827
Abstract

The medical records of 368 patients, hospitalized for facial fractures, were analyzed according to sex, age, etiology, etc. To get the long-term results, the patients were given a questionnaire which was answered by 271 patients (73.6%). In the total material there is an overrepresentation for younger males and the main reasons for the fractures are traffic accidents (34.8%) and fights (27.1%). The most common fracture is the zygomaticomaxillary one (202 cases), followed by the fractures of the mandible (121 cases). The results 1 week postoperatively were good from a clinical point of view. The results from the X-ray examination with its exact demands were poorer. This discrepancy is discussed. The questionnaire covers a postoperative period of 6--99 months. Altogether, 40.1% of the patients operated on and 57.1% of those not operated on were satisfied and considered themselves as good as before the lesion. The results improve in the course of time, especially the functional ones. The reactivation of the function in the infraorbital nerve seems to be a more drawn-out process than previously supposed.

摘要

对368例因面部骨折住院的患者病历,按照性别、年龄、病因等进行了分析。为获得长期结果,向患者发放了问卷,271例患者(73.6%)进行了回答。在全部病例中,年轻男性占比过高,骨折的主要原因是交通事故(34.8%)和斗殴(27.1%)。最常见的骨折是颧上颌骨骨折(202例),其次是下颌骨骨折(121例)。从临床角度看,术后1周的结果良好。而X线检查因其严格要求,结果较差。对此差异进行了讨论。问卷涵盖了术后6至99个月的时间段。总体而言,接受手术的患者中有40.1%、未接受手术的患者中有57.1%表示满意,并认为自己与受伤前一样良好。结果会随着时间推移而改善,尤其是功能方面。眶下神经功能的恢复似乎比之前认为的过程更漫长。

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