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3050例颌面部损伤临床分析

王科 彭国光 谭玉莲 何善志 罗翠芬

口腔疾病防治2016,Vol.24Issue(12):715-719,5.
口腔疾病防治2016,Vol.24Issue(12):715-719,5.DOI:10.12016/j.issn.2096-1456.2016.12.007

3050例颌面部损伤临床分析

Retrospective analysis of 3 050 patients with maxillofacial trauma

王科 1彭国光 1谭玉莲 1何善志 1罗翠芬1

作者信息

  • 1. 广州中医药大学附属佛山市中医院口腔医疗中心,广东广州 528000
  • 折叠

摘要

Abstract

Objective To review the clinical data of 3 050 patients with maxillofacial trauma in order to provide guidance for clinical diagnosis and treatment. Methods During January 2010 to December 2014, 3 050 maxillofacial traumatic patients were selected in Foshan Hospital of Traditional Chinese Medicine, Guangzhou University of Tradition⁃al Chinese Medicine in this retrospective analysis regarding data of sex, age, causes of injury, occupation, geographic distribution, blood type, fracture site, multiple associated injuries, first admitted department, treatment result were re⁃viewed. Results The male and female ratio was 3.9∶1.1. 711 cases (56.1%) were between 20 to 40 years old. The traf⁃fic accident (1 055 cases, 34.6%) was the first traumatic cause. The zygomatic complex (707 cases, 23.2%), naso⁃orbital⁃ethmoid (650 cases, 21.3%), mandible (540 cases, 17.7%) were most vulnerable. Maxillofacial injury was often associat⁃ed with brain injury (1 321 cases, 43.3%) and facial soft tissue contusion (1 275 cases, 41.8%). For the 2 632 maxillofa⁃cial fracture patients, the first admitted department included stomatology department (67.3%), orthopaedics (11.6%), brain surgery (8.4%), et al. The average score of AIS was 2.3 which was between moderate and severe. The treatment in⁃cluded operation treatment (1694 cases, 55.5%), and conservative treatment (1 356 cases, 44.5%). Conclusion Male took the majority part of injury for the maxillofacial traumatic patients. The 20 to 40 year old people occupated the high⁃ est proportion. Traffic accident was the first cause of injury meanwhile the fall injury proportion rose. Zygomatic com⁃plex, naso⁃orbital⁃ethmoid, mandible fracture were the most vulnerable injuries. Maxillofacial injury often combined with brain, chest, abdomen and other important organs. The patients were adimtted to the appropriate department ac⁃cording to the injury. The overall treatment effect was satisfied.

关键词

颌面部/创伤/骨折/下颌骨/回顾性分析

Key words

Maxillofacial region/Trauma/Fracture/Mandible/Retrospective analysis

分类

医药卫生

引用本文复制引用

王科,彭国光,谭玉莲,何善志,罗翠芬..3050例颌面部损伤临床分析[J].口腔疾病防治,2016,24(12):715-719,5.

基金项目

国家自然科学基金 ()

佛山市医学重点专科培育项目 ()

口腔疾病防治

OACSTPCD

1006-5245

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