1084例颌骨骨折的临床回顾性研究  

A Retrospective Study of 1084 Facial Fractures

作　　者：邹立东[1] 张益[1] 何冬梅[1] 刘林[1] 安金刚[1] 段登辉[1] 

机构地区：[1]北京大学口腔医学院口腔颌面外科,北京100081

出　　处：《中国口腔颌面外科杂志》2003年第3期131-134,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的总结分析颌骨骨折的临床特点和治疗方法。方法回顾性分析1084例颌面骨折发生的年龄、性别、原因、全身损伤、骨折类型、治疗及手术并发症。结果颌骨骨折男性多发,20～40岁为好发年龄段;原因以交通事故伤为最多,占49.2%,19%的病例伴有全身损伤。下颌运动受限、咬合紊乱和颜面畸形是颌骨骨折的三个主要体征。85.5%的骨折行手术复位和坚固内固定。5.1%的病例术后发生感染。结论颌骨骨折中年轻男性多见,交通事故伤是其最主要原因。直接复位和固定、截骨以及植骨是骨折治疗的有效方法,颌间牵引在颌骨骨折治疗中的作用不可忽视。坚固内固定技术促进了颌骨骨折的治疗。Objective To evaluate the ep id emiology and the treatment of facial fractures.Methods A review of1084facial fra ctures was presented with respect to age,sex,cause of fractures,associated syste mic injuries,pattern of fractures,treatments and complications.Results The major ity of fractures were found in20-to-40-years-old males and the leading cause was traffic accidents.Associated systemic injuries were found in19%of1084cases.Redu ction of mouth opening,malocclusion and facial deformities were the three main s igns of maxillofacial fractures.85.5%cases were treated with surgery and the oth ers underwent conservative treatment.Postoperative infection occurred in5.1%of c ases.Conclusion Traffic accident is the main cause of facial fractures,which occ urs mainly in young adult males aged20to40years old.Direct reduction and fixatio n,osteotomy and bone grafting are effective measures in the treatment of fractur es.Intermaxillary traction was widely used,especially in the cases with simple f ractures.The results of the management of facial fractures has been greatly impr oved with the development and maturity of rigid internal fixation.

关 键 词：颌骨骨折 坚固内固定 颌间牵引 回顾性研究 

分 类 号：R782.4[医药卫生—口腔医学]