颧骨复合体骨折临床资料回顾性研究  

A Retrospective Study of 97 Patients with Zygomatic Bone Fractures

作　　者：Sudhir Shrestha 章宏毅[1] 李祖兵[2] 

机构地区：[1]长江大学附属第一医院口腔颌面外科,湖北荆州434000 [2]武汉大学口腔医学院口腔颌面外科

出　　处：《口腔医学研究》2015年第2期175-178,共4页Journal of Oral Science Research

摘　　要：目的：旨在对颧骨骨折的流行病学、治疗、并发症等作初步评估。方法：从长江大学第一人民医院2008年8月~2013年8月期间的97例颧骨骨折住院患者的病情资料中,针对性别、年龄、个人嗜好、病因、症状体征、口腔卫生状况、初诊、住院、手术时间、骨折类型、手术进路、治疗手段、抗生素使用情况、出院时间、术后并发症发生等方面进行描述性分析。结果：本病发生最常见的年龄段是31~40岁,最常见的病因是交通事故,最常见的症状体征是疼痛与肿胀,骨折类型以Ⅰ类骨折最常见,手术的方式全都采用切开复位内固定的术式,术后如有指征可使用抗生素,最常见的并发症是下眶下区麻木。结论：目前的治疗方案较为合理,与其他同类报道相比,有一定的先进性。Objective： To evaluate the epidemiology, treatment, and complications of zygomatic bone fractures or/and zygomatic arch fractures associated with other facial and other parts fractures of body. Methods： This survey was performed in the first hospital affiliated with Yangtze University, from August 2008 to August 2013. The records of 97 patients with zygomatic bone fractures were reviewed. Data regarding gender, age, addictions, day of trauma, etiology, sings and symptoms, oral hygiene condition, day of initial evaluation, hospital admission, day of surgery ,surgery approach, pattern of fractures, treatment performed, post-- operative antibiotic, day of hospital discharge, and post--operative complications were collected. The data were subjected to descriptive statistical analyses. Results： The most frequent fractures occurred during the fourth of life. The most frequent etiology was traffic accident, and symptoms and signs included pain and edema . Type I fractures were the main injury observed, and the surgical treatment of choice was always rigid internal fixation. Post--operative antibiotic therapy was solely employed when there was an indication. Most frequent complications that were observed was the disfunction of orbital nerve. Conclusion： The treatment protocol yielded desired post--operative results and also success rates comparable to published adta around world

关 键 词：颧骨骨折 流行病学研究 治疗方案 预后分析 

分 类 号：R782.4[医药卫生—口腔医学]