面骨骨折521例临床回顾性分析  

Clinical retrospective analysis of facial fracture on 521 cases

作　　者：贺佳妮[1] 胡枫[1] 韩思源[1] 郭家妍[1] 李怒[1] 冷冰[1] 左娜[1] 刘海燕[1] 

机构地区：[1]中国医科大学附属第一医院整形外科,辽宁沈阳110001

出　　处：《中国美容整形外科杂志》2015年第7期400-402,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 总结面骨骨折的致伤原因、易发部位及坚固内固定治疗方法的临床经验.方法 从致伤原因、性别、年龄、易发部位及治疗等方面,对收治的521例面骨骨折患者病历资料进行回顾性分析.治疗方法以骨折切开复位坚固内固定为主.结果 521例面骨骨折患者中,除11例髁状突高位骨折行颌垫辅助颌间牵引治疗外,其余均经颌面部小切口行骨折切开复位坚固内固定术,12例患者术后患侧颧骨突度较对侧略低,其余患者术后面部形态基本对侧,经开口训练后张口约可容3指,咬（牙合）关系正常,患者满意.结论 面骨骨折多见于男性,好发于青壮年,大多数骨折为由交通事故导致的颌面部多处伤,以上颌窦前壁骨折最多见,颧骨颧弓骨折常合并眼眶骨折,对于髁状突囊内骨折及儿童骨折,尽量采用保守治疗,其余行切开复位坚固内固定术.Objective To summarize the clinical experience of causes of injury, prone position and rigid internal fixation method on patients of facial fracture. Methods Retrospective summary was performed on data from 521 cases of facial fracture patients, including the cause of injury, gender, age, prone position and treatment method. The major treatment method on fracture were open reduction and rigid fixation. Results In all patients, 11 patients with condylar fracture treated with jaw pad between auxiliary jaw traction treatment. Others treated with fractures open reduction and sturdy fixation through small incision, 12 patients with postoperative side zygomatic degree was lower than those of the contralateral slightly, others were stisfied with the results. Conclusion Facial bone fractures are more common in males, occurs in young aduhs, most are caused by traffic accidents and the prone position is maxillary sinus. Orbital fracture are often complicated with zygoma fracture. For condylar intracapsular fractures and fractures in children, the best treatment method is conserva- tive treatment, and open reduction and internal fixation were used for the rest.

关 键 词：颌面部骨折 面骨骨折 坚固内固定 

分 类 号：R782.2[医药卫生—口腔医学]