186例儿童及青少年颌面部骨折患者的回顾性研究  

Retrospective Study of 186 Children and Adolescents with Maxillofacial Fractures.

作　　者：邱若兰 马昊东 房敏健 刘亮 QIU Ruolan;MA Haodong;FANG Minjian;LIU Liang(Department of Stomatology,First Affiliated Hospital of Bengbu Medical University,Bengbu 233099,China;School of Stomatology,Bengbu Medical University,Bengbu 233030,China.)

机构地区：[1]蚌埠医科大学第一附属医院口腔科,安徽蚌埠233099 [2]蚌埠医科大学口腔医学院,安徽蚌埠233030

出　　处：《口腔医学研究》2024年第12期1086-1090,共5页Journal of Oral Science Research

摘　　要：目的:分析儿童及青少年颌面部骨折的临床特征,并对骨折伴随牙齿损伤(traumatic dental injury,TDI)进行初步研究。方法:收集蚌埠医科大学第一附属医院2018年1月~2023年12月收治的0~18岁颌面部骨折患者临床资料,对年龄、性别、创伤原因、骨折部位、治疗方法、TDI进行分类统计。结果:纳入患者186例,3个年龄组中由坠落、机动车-人交通事故、摔倒导致的骨折等方面比较差异具有统计学意义(P<0.05)。3个年龄组骨折手术治疗率分别为35.00%、50.00%和66.96%。骨折伴随TDI患者96例(51.61%),好发牙位为中切牙(41.93%),常见损伤类型为牙周组织损伤(68.32%)。骨折伴TDI失牙率为31.37%。结论:儿童及青少年颌面部骨折的创伤原因及治疗情况具有年龄分布特征。骨折伴随TDI常见且多发,失牙率较高,应提高诊疗的及时性和准确性。Objective:To analyze the clinical features of maxillofacial fractures in children and adolescents,and to conduct a preliminary study on the fracture accompanying traumatic dental injury(TDI).Methods:The data of patients with maxillofacial fractures aged 0-18 years from the First Affiliated Hospital of Bengbu Medical University from January 2018 to December 2023 were collected.The age,gender,trauma cause,fracture site,treatment method and TDI were classified.Results:One hundred and eighty-six patients were included.There were statistical differences in fractures caused by falling,motor vehicle-person traffic accidents,and falling down among three age groups(P<0.05).The surgical treatment rates of fractures in the 3 age groups were 35.00%,50.00%,and 66.96%.There were 96 patients(51.61%)with fracture accompanied by TDI.The most common tooth position was central incisor(41.93%),and the common injury type was periodontal tissue injury(68.32%).The rate of tooth loss was 31.37%.Conclusion:Trauma causes and treatment of maxillofacial fractures in children and adolescents are characterized by age distribution.Fractures accompanied by TDI are common and frequent,and the rate of tooth loss is high.The timeliness and accuracy of diagnosis and treatment should be improved.

关 键 词：颌面部骨折 儿童 创伤性牙齿损伤 青少年 

分 类 号：R782.4[医药卫生—口腔医学]