621例颅颌面骨折临床分析

doi:10.19439/j.sjos.2017.01.023

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (1): 106-110.doi: 10.19439/j.sjos.2017.01.023

621例颅颌面骨折临床分析

卢阳¹, 卢晓峰², 范先群¹

1.上海交通大学医学院附属第九人民医院眼科,2.口腔颅颌面外科,上海 200011

收稿日期:2016-11-16 修回日期:2017-01-18 出版日期:2017-02-25 发布日期:2017-03-20
通讯作者: 范先群,E-mail: fanxq@sh163.net
作者简介:卢阳（1991-）,男,硕士,住院医师,E-mail: knightluyang@163.com

A retrospective analysis of 621 cases with craniomaxillofacial fractures

LU Yang¹, LU Xiao-feng², FAN Xian-qun¹

1.Department of Ophthalmology, 2.Department of Oral and Craniomaxillofacial Science, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2016-11-16 Revised:2017-01-18 Online:2017-02-25 Published:2017-03-20

摘要/Abstract

摘要： 目的通过对本院621例颅颌面骨折患者回顾分析,了解本地区颅颌面骨折患者的流行病学特点。方法对上海交通大学医学院附属第九人民医院颅颌面外科、眼科、耳鼻咽喉科、神经外科、整形外科2015年7月—2016年8月期间收治的621例颅颌面骨折患者的年龄、性别、病因、骨折部位分布等信息进行分析。采用SPSS 22.0软件包对单发及多发骨折的病因差异进行χ²检验。结果 621例颅颌面骨折的男女比为2.18∶1;平均发病年龄为（34.7±15.5）岁,19~29岁（28.3%）为骨折的高发年龄段;交通事故在致伤原因中居于首位（49.0%）;在骨折部位中,眼眶骨折319例（51.4%）,发生率最高,其次分别为颧骨、颧弓（292例,47.0%）、下颌骨（247例,39.8%）。结论骨折发生的数量、部位等与致伤原因、受力性质及相应部位的解剖结构有关。建立完善的交通事故救治体系及相关法律,是亟须解决的问题。

关键词: 颅颌面骨折, 流行病学调查, 病因学

Abstract: PURPOSE: To investigate the epidemiological characteristics of 621 hospitalized patients with craniomaxillofacial fractures by a retrospective study. METHODS: From July 2015 to August 2016, the medical records of 621 patients with craniomaxillofacial fractures in Shanghai Ninth People's Hospital were analyzed statistically according to age, gender, etiology and site of fracture. Chi-square test was used to analyze the causes of single and multiple fractures with SPSS 20.0 software package. RESULTS: The male to female ratio was 2.18: 1. The average age was 34.7±15.5 years with 19-29 years old group accounted for the most (28.3%). Traffic accident was the top cause of injury (49.0% ); There were 319 cases of orbital fractures (51.4%), followed by 292 cases of zygomatic complex (47.0%) and 247 cases of mandibular fractures (39.8%). CONCLUSION: The quantity and location of fractures are related to the cause of injury, the nature of stress and anatomical structure of corresponding areas. Establishing a sound system of traffic accident management and related laws is an urgent problem to be solved.

Key words: Craniomaxillofacial fractures, Epidemiology, Etiology

中图分类号:

R782.4

卢阳, 卢晓峰, 范先群. 621例颅颌面骨折临床分析[J]. 上海口腔医学, 2017, 26(1): 106-110.

LU Yang, LU Xiao-feng, FAN Xian-qun. A retrospective analysis of 621 cases with craniomaxillofacial fractures[J]. Shanghai Journal of Stomatology, 2017, 26(1): 106-110.

参考文献

[1] 李劲松, 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.
[2] 何锦泉, 张益. 颌面创伤调查现况 [J]. 中国口腔颌面外科杂志, 2006, 4(5): 385-388.
[3] 王正国. 创伤研究的回顾与展望[J]. 中华创伤杂志, 2000, 16(1): 7-9.
[4] Smith H, Peek-Asa C, Nesheim D, et al. Etiology, diagnosis, and characteristics of facial fracture at a midwestern level I trauma center [J]. J Trauma Nurs, 2012, 19(1): 57-65.
[5] 陈晨, 杨尧, 巩玺. 口腔颌面部新鲜骨折1009例回顾分析 [J]. 中华口腔医学杂志, 2015, 50(11): 650-655.
[6] Zhou HH, Liu Q, Yang RT, et al. Maxillofacial fractures in women and men: a 10-year retrospective study [J]. J Oral Maxillofac Surg, 2015, 73(11): 2181-2188.
[7] Chrcanovic BR. Factors influencing the incidence of maxillofacial fractures [J]. J Oral Maxillofac Surg, 2012, 16(1): 3-17.
[8] 单靖, 姚敏, 罗奕, 等. 1064例口腔颌面部骨折住院病人统计分析 [J]. 中国医院统计, 2011, 18(4): 376-377.
[9] 李生柏. 495例颌面部骨折的回顾性分析 [D]. 乌鲁木齐: 新疆医科大学, 2011.
[10] 周毅恒, 陈杨, 梅丹. 不同年龄组各类伤害发生原因的构成 [J]. 疾病监测, 2014, 1(3): 4-7.
[11] Fasola AO, Nyako EA, Obiechina AE, et al. Trends in the characteristics of maxillofacial fractures in Nigeria [J]. J Oral Maxillofac Surg, 2003, 61(10): 1140-1143.
[12] 薄斌, 顾晓明, 周树夏, 等. 交通伤颌面骨折临床病例回顾性研究 [J]. 口腔颌面外科杂志, 1998, 8(1): 9-11.
[13] 李戍军, 刘彦普, 石照辉, 等. 颌面创伤住院患者临床流行病学调查 [J]. 中国临床康复, 2003, 7(32): 4376-4377.
[14] 陈辉, 刘彦普, 刘斌, 等. 1001例口腔颌面部创伤患者临床分析 [J]. 中国口腔颌面外科杂志, 2012, 10(2): 129-133.
[15] 史俊, 邱蔚六, 徐兵, 等. 1420例颌面部创伤患者临床分析 [J]. 上海口腔医学, 2008, 17(6): 574-577.
[16] 李洪祥. 预防和制止家庭暴力的困境与出路—以长春市家庭暴力及防治情况的调查为例 [J]. 新视野, 2012, 29(4): 98-101.
[17] 商鲁宁, 吴新英. 高空坠落伤的临床特点及预防措施 [J]. 华夏医学, 2015, 28(1): 156-158.
[18] 李元如. 高处坠落伤的急诊救治[J]. 首都医药, 2009, 16(2): 37-38.
[19] 陈垂史, 李伯友, 彭勇, 等. 儿童颌面部损伤190例临床分析 [J]. 宁夏医学杂志, 2010, 32(8): 760-761.
[20] Çagatay HH, Ekinci M, Pamukcu C, et al. Retrospective analysis of 132 patients with orbital fracture [J]. Ulus Travma Acil Cerrahi Derg, 2013, 19(5): 449-455.
[21] DeFazio MV, Fan KL, Avashia YJ, et al. Fractures of the pediatric zygoma: a review of the clinical trends, management strategies, and outcomes associated with zygomatic fractures in children [J]. J Craniofac Surg, 2013, 24(6): 1891-1897.
[22] Lee SW, Jeong YW, Myung Y. Revision surgery for zygoma reduction: causes,indications, solutions, and results from a 5-year review of 341 cases[J]. Aesthetic Plast Surg, 2016 Dec 28. [Epub ahead of print]
[23] Riaz N, Chatha AA, Warraich RA, et al. Ophthalmic injuries in orbito-zygomatic fractures [J]. J Coll Physicians Surg Pak, 2014, 24(9): 649-652.
[24] Munante-Cardenas J L, Facchina Nunes PH, Passer LA. Etiology, treatment, and complications of mandibular fractures [J]. J Craniofac Surg, 2015, 26(3): 611-615.

621例颅颌面骨折临床分析

A retrospective analysis of 621 cases with craniomaxillofacial fractures

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