颌面部骨折1081例临床分析
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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。
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.
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.
引文
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[8] Ravindran V,Ravindran Nair KS. Metaanalysis of maxillofacial trauma in the northern districts of kerala:one year prospective study[J]. J Maxillofac Oral Surg,2011,10(4):321-327.
[9] van den Bergh B,Heymans MW,Duvekot F,et al.Treatment and complications of mandibular fractures:a 10-year analysis[J]. J Craniomaxillofac Surg,2012,40(4):e108-111.
[10] Mijiti A,Ling W,Tuerdi M,et al. Epidemiological analysis of maxillofacial fractures treated at a university hospital,Xinjiang,China:A 5-year retrospective study[J]. J Craniomaxillofac Surg,2014,42(3):227-233.
[11] Bhardwaj Y,Kumar D. Pediatric maxillofacial trauma outcomes based on a survey of 65 patients:A prospective study of etiology,incidence and methods of treatment[J]. J Maxillofacial Oral Surg,2015,14(3):687-692.
[12]周海华,刘琦,杨荣涛,等. 1131例口腔颌面部骨折临床分析[J].中国口腔颌面外科杂志,2013,11(5):424-428.
[13]李逸松,田卫东,李声伟,等.颌面创伤3958例临床回顾[J].中华口腔医学杂志,2006,41(7):385-387.
[14]汤炜,田卫东.口腔颌面部骨折内固定技术应用与发展[J].中国实用口腔科杂志,2010,3(4):196-199.
[15]刘磊,郑晓辉,田卫东,等. 69例老年患者颌面部骨折的临床分析[J].华西口腔医学杂志,2006,23(3):281-282.
[2] Boffano P,Roccia F,Zavattero E,et al. European maxillofacial trauma(EURMAT)project:a multicentre and prospective study[J]. J Craniomaxillofac Surg,2015,43(1):62-70.
[3] Nalamolu B,Reddy K,Vura N. Analysis of 1545 fractures of facial region—A retrospective study[J]. Craniomaxillofacial Trauma and Reconstruction,2015,8(4):307-314.
[4] Kar IB,Mahavoi BR. Retrospective analysis of 503maxillo-facial trauma cases in odisha during the period of dec'04-nov'09[J]. J Maxillofac Oral Surg,2012,11(2):177-181.
[5] Lin FY,Wu CI,Cheng HT. Mandibular fracture patterns at a medical center in central Taiwan:A 3-year epidemiological review[J]. Medicine(Baltimore),2017,96(51):e9333.
[6] Manodh P,Prabhu Shankar D,Pradeep D,et al. Incidence and patterns of maxillofacial trauma-a retrospective analysis of 3611 patients-an update[J]. Oral Maxillofac Surg,2016,20(4):377-383.
[7] Menon S,Sinha R,Thapliyal G,et al. Management of zygomatic complex fractures in a tertiary hospital:A retrospective study[J]. Journal of Maxillofacial and Oral Surgery,2011,10(2):138-41.
[8] Ravindran V,Ravindran Nair KS. Metaanalysis of maxillofacial trauma in the northern districts of kerala:one year prospective study[J]. J Maxillofac Oral Surg,2011,10(4):321-327.
[9] van den Bergh B,Heymans MW,Duvekot F,et al.Treatment and complications of mandibular fractures:a 10-year analysis[J]. J Craniomaxillofac Surg,2012,40(4):e108-111.
[10] Mijiti A,Ling W,Tuerdi M,et al. Epidemiological analysis of maxillofacial fractures treated at a university hospital,Xinjiang,China:A 5-year retrospective study[J]. J Craniomaxillofac Surg,2014,42(3):227-233.
[11] Bhardwaj Y,Kumar D. Pediatric maxillofacial trauma outcomes based on a survey of 65 patients:A prospective study of etiology,incidence and methods of treatment[J]. J Maxillofacial Oral Surg,2015,14(3):687-692.
[12]周海华,刘琦,杨荣涛,等. 1131例口腔颌面部骨折临床分析[J].中国口腔颌面外科杂志,2013,11(5):424-428.
[13]李逸松,田卫东,李声伟,等.颌面创伤3958例临床回顾[J].中华口腔医学杂志,2006,41(7):385-387.
[14]汤炜,田卫东.口腔颌面部骨折内固定技术应用与发展[J].中国实用口腔科杂志,2010,3(4):196-199.
[15]刘磊,郑晓辉,田卫东,等. 69例老年患者颌面部骨折的临床分析[J].华西口腔医学杂志,2006,23(3):281-282.