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[1]王 敏,秦立业,郑蓝天,等.颌面部骨折1081例临床分析[J].宁夏医科大学学报,2019,(02):143-146.[doi:10.16050/j.cnki.issn1674-6309.2019.02.007]
 WANG Min,QIN Liye,ZHENG Lantian,et al.Clinic Analysis of 1081 Patients with Maxillofacial Fracture[J].Ningxia Medical University,2019,(02):143-146.[doi:10.16050/j.cnki.issn1674-6309.2019.02.007]
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2019年02期
页码:
143-146
栏目:
论著
出版日期:
2019-02-28

文章信息/Info

Title:
Clinic Analysis of 1081 Patients with Maxillofacial Fracture
文章编号:
1674-6309(2019)02-0143-04
作者:
王 敏1 秦立业1 郑蓝天1 丁小艳1 周忠伟2 黄永清2
(1. 宁夏医科大学, 银川 750004; 2. 宁夏医科大学总医院口腔颌面外科,银川 750004)
Author(s):
WANG Min1 QIN Liye1 ZHENG Lantian1 DING Xiaoyan1 ZHOU Zhongwei2 HUANG Yongqing2
(1. Ningxia Medical University,Yinchuan 750004,China; 2.Department of Oral & Maxillofacial, the General Hospital of Ningxia Medical University,Yinchuan 750004,China)
关键词:
颌面部骨折回顾性研究流行病学宁夏
Keywords:
maxillofacial fracture retrospective analysis epidemiology Ningxia
分类号:
R782.4
DOI:
10.16050/j.cnki.issn1674-6309.2019.02.007
文献标志码:
A
摘要:
目的 了解宁夏地区颌面部骨折患者的构成、发病特点及临床流行病学现状。方法 选择宁夏医科大学总医院口腔颌面外科2011年1月至2017年12月期间收治1081例颌面部骨折患者,对其性别、年龄、致伤原因、骨折部位、合并伤、治疗时机、治疗方法、并发症等进行分析。结果 颌面部骨折患者平均年龄为(32.76±13.77)岁,男、女比例为4.43∶1; 20~30岁为好发年龄,最易发生在夏、秋两季。颌面部骨折最常见致伤原因为交通事故伤(57.0%),其次为砸伤和摔伤。最常见骨折部位为上颌窦前壁,其次为颧骨颧弓区,下颌骨骨折最常见部位为正中联合和颏孔区,其次为髁突。约45.2%患者伴发合并伤,以颅脑损伤最常见。在接受治疗的患者中, 753例(85.3%)行骨折切开复位内固定术。结论 本地区颌面部骨折主要致伤原因为交通事故,以青壮年男性为主,受伤部位以上颌窦前壁、颧骨颧弓区居多,目前主要治疗方式为切开复位内固定术。
Abstract:
Objective Through the analysis of clinical data of 1081 maxillofacial fracture patients, the composition, pathogenetic character and clinical epidemiology of maxillofacial fracture in Ningxia region were understood. Methods A total of 1081 patients with maxillofacial fracture were selected from the Department of Oral and Maxillofacial Surgery, the General Hospital of Ningxia Medical University from January 2011 to December 2017. Their gender,age,cause of injury, location of fracture, combined injury, timing of treatment, treatment methods and complications were analyzed. Results The average age of patients with maxillofacial fracture was 32.76 years old, and the ratio of male to female was 4.43:1. The age of 20~30 years old was the predisposing age, which was most likely to occur in summer and autumn. The most common cause of maxillofacial fracture was traffic accident injury(57.0%), followed by smash injury and fall injury. The most common site of fracture was anterior wall of maxillary sinus,followed by zygomatic arch area, and the most common site of mandibular fracture was median Union and chin foramen area, followed by condyle process. About 45.2% of the patients were accompanied by concurrent injuries, and craniocerebral injuries were the most common. Of the patients treated,753(85.3%) underwent open reduction and internal fixation (ORIF).Conclusion RTA is the most commonaetiologyof facial fractures in Ningxiaregion.Young and middle-aged men are the main causes. Most of the injured sites are anterior wall of maxillary sinus and zygomatic arch area. The main treatment of these patients is ORIF.

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备注/Memo

备注/Memo:
收稿日期:2018-10-31
基金项目:宁夏医科大学特殊人才启动项目(XT2017013)
作者简介:王敏(1991-),女,山东济南人,在读硕士研究生,研究方向:口腔颌面外科学。E-mail: wangdouer1030@126.com
通信作者:黄永清。E-mail: yongqinghuang_6510@126.com
更新日期/Last Update: 2019-02-27