202例鼻骨骨折临床分析  

Clinal analysis of 202 nasal bone fractures cases

作　　者：钟振华[1] 范西惠[1] 练状[1] 程泽星[1] 庄远岭[1] 

机构地区：[1]扬州市第一人民医院耳鼻咽喉-头颈外科,江苏扬州225001

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第23期1842-1844,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨鼻骨骨折患者的性别、年龄、病因、诊断及治疗时机。方法：回顾性分析202例鼻骨骨折患者的临床资料。结果：202例患者中，男163例（80．7％），女39例（19．3％）；52例患者受伤与饮酒有关，且均为男性。致伤原因：斗殴94例（46．5％），摔伤43例（21．3％），交通事故39例（19．3％），工作意外伤害13例（6．5％），运动伤害12例（5．90．4），其他伤害1例（O．5％）。季节分布：春季54例（26．7％），夏季42例（20．8％），秋季58例（28．7％），冬季48例（23．8％）。应用鼻骨x线检查诊断鼻骨骨折的阳性率为79．7％，而CT检查诊断的阳性率为100％。结论：斗殴是鼻骨骨折发生的主要原因，男性占绝大多数，高发年龄20～29岁。CT检查在鼻骨骨折中的诊断有重要意义。Objective： To evaluate the age, sex, etiology, diagnosis and treatment time of nasal bone frac- tures. Method： Clinical data of 202 cases with nasal bone fractures treated in the hospital were retrospectively ana- lysed. Result：A total of 202 cases,163 men （80.7%） and 39 women （19.3%）. Fifty-two patients had a relation- ship with alcohol consumption, and all of them were males. The most frequent reasons of the injury were fight 46.5% （94 cases） followed by falling-down 21.3% （43 cases）, traffic accidents 19.3% （39 cases）, works related / 6.5% （13 cases）, sport injuries 5.9% （12 cases） and others 0.5% （1 cases）. Patients distribution in seasons were： spring 54 cases （26.7%）, summer 42 cases （20.8%）, autumn 58 cases （28.7%）, winter 48 cases （23.8%）. Diagnosis of nasal bone fractures were made positively by x-ray films in 79.7% of cases, but 100% by CT. Positive predictive value of CT was superior to that of X-ray films in the diagnosis of nasal bone fracture. Con- clusion： High morbidity of nasal bone fracture was seen in the age group of 20--29 years, and predominantly in male. Fight was found to be the main etiologic factor. We think that CT is necessary for diagnosing nasal bone fracture.

关 键 词：骨折 鼻骨 

分 类 号：R322.31[医药卫生—人体解剖和组织胚胎学]