中华口腔医学杂志
中華口腔醫學雜誌
중화구강의학잡지
Chinese Journal of Stomatology
2011年
3期
139-142
,共4页
王科%彭国光%吴俊伟%丁旭宣%严鑫%谢建雅
王科%彭國光%吳俊偉%丁旭宣%嚴鑫%謝建雅
왕과%팽국광%오준위%정욱선%엄흠%사건아
骨折%创伤和损伤%颌面部
骨摺%創傷和損傷%頜麵部
골절%창상화손상%합면부
Fractures,bone%Wounds and injures%Maxillofacial region
目的 对2461例颌面部骨折病例进行临床回顾研究.方法 对广州中医药大学附属佛山中医院2003至2009年间因颌面部创伤住院的2461例骨折患者进行回顾分析,明确患者性别、年龄、损伤原因、职业、地域分布、血型、骨折部位、多处合并伤、损伤程度、首诊收入科室、治疗效果.结果 2461例颌面部骨折病例中,男女比例为4.28∶1;20～40岁为发病的高峰年龄(1424/2461,57.86%);道路交通伤938例(40.98%),在致伤原因中居首位;第三产业900例(78.53%),尤其从事交通运输业人员是最易骨折群体;颧骨复合体、鼻骨、下颌骨骨折分别占22.08%(955处/4325处)、20.67%(894处/4325处)和16.35%(707处/4325处),以上是颌面部骨折最好发部位;常合并颅骨、颅脑损伤及软组织挫裂伤,分别为21.74%、38.36%和48.84%.简明损伤评分法(abbrebiated injury scale,AIS)评分85.98%(2116例/2461例)患者小于2分;38.16%(939例/2461例)的患者首诊收入骨科.结论 颌面部骨折发病率逐年上升,交通事故为主要致伤原因,损伤程度较轻,常合并骨科损伤,男性较女性多见,发病人群以青壮年为主.
目的 對2461例頜麵部骨摺病例進行臨床迴顧研究.方法 對廣州中醫藥大學附屬彿山中醫院2003至2009年間因頜麵部創傷住院的2461例骨摺患者進行迴顧分析,明確患者性彆、年齡、損傷原因、職業、地域分佈、血型、骨摺部位、多處閤併傷、損傷程度、首診收入科室、治療效果.結果 2461例頜麵部骨摺病例中,男女比例為4.28∶1;20～40歲為髮病的高峰年齡(1424/2461,57.86%);道路交通傷938例(40.98%),在緻傷原因中居首位;第三產業900例(78.53%),尤其從事交通運輸業人員是最易骨摺群體;顴骨複閤體、鼻骨、下頜骨骨摺分彆佔22.08%(955處/4325處)、20.67%(894處/4325處)和16.35%(707處/4325處),以上是頜麵部骨摺最好髮部位;常閤併顱骨、顱腦損傷及軟組織挫裂傷,分彆為21.74%、38.36%和48.84%.簡明損傷評分法(abbrebiated injury scale,AIS)評分85.98%(2116例/2461例)患者小于2分;38.16%(939例/2461例)的患者首診收入骨科.結論 頜麵部骨摺髮病率逐年上升,交通事故為主要緻傷原因,損傷程度較輕,常閤併骨科損傷,男性較女性多見,髮病人群以青壯年為主.
목적 대2461례합면부골절병례진행림상회고연구.방법 대엄주중의약대학부속불산중의원2003지2009년간인합면부창상주원적2461례골절환자진행회고분석,명학환자성별、년령、손상원인、직업、지역분포、혈형、골절부위、다처합병상、손상정도、수진수입과실、치료효과.결과 2461례합면부골절병례중,남녀비례위4.28∶1;20～40세위발병적고봉년령(1424/2461,57.86%);도로교통상938례(40.98%),재치상원인중거수위;제삼산업900례(78.53%),우기종사교통운수업인원시최역골절군체;권골복합체、비골、하합골골절분별점22.08%(955처/4325처)、20.67%(894처/4325처)화16.35%(707처/4325처),이상시합면부골절최호발부위;상합병로골、로뇌손상급연조직좌렬상,분별위21.74%、38.36%화48.84%.간명손상평분법(abbrebiated injury scale,AIS)평분85.98%(2116례/2461례)환자소우2분;38.16%(939례/2461례)적환자수진수입골과.결론 합면부골절발병솔축년상승,교통사고위주요치상원인,손상정도교경,상합병골과손상,남성교녀성다견,발병인군이청장년위주.
Objective To review the 2461 cases of maxillofacial fractures. Methods From 2003 to 2009, 2461 maxillofacial fracture cases were treated in Foshan Hospital of Traditional Chinese Medicine,Guangzhou University of Traditional Chinese Medicine. Data regarding sex, age, cause of injury,occupation,geographic distribution, blood type, fracture site, multiple associated injuries, injury severity, the patient's first admitted department, treatment results were reviewed. Results The male and female ratio was was road traffic accident(938 cases,40.98% ). People in tertiary industry(900 cases,78.53% ) were most vulnerable to injuries. The zygomatic complex (22.08% ), nasal bone (20.67% ) and mandible ( 16.35% )were the most frequent fracture sites, which were often associated with skull ( 21.74% ), brain ( 38.36% )and soft tissue contusion injury (48.84% ). 85.98% (2116/2461 cases), of patients' AIS score was less than 2. Orthopaedics (939/2461 cases, 38.16% ) was the first admitted department. Conclusions The traffic accidents are the main cause of the maxillofacial fractures. Most injuries are found in the young and middle-aged people.
