三种创伤严重度评分对颌面创伤评估的比较  

Comparison of injury severity scores in evaluation of maxillofacial trauma

作　　者：李戍军[1] 刘彦普[1] 石照辉[1] 周树夏[1] 葛成[1] 

机构地区：[1]第四军医大学口腔医学院,西安710032

出　　处：《解放军医学杂志》2004年第1期66-68,共3页Medical Journal of Chinese People's Liberation Army

基　　金：军队"十五"指令性资助课题 (编号 0 1L0 75)

摘　　要：目的　研究并比较了三种颌面创伤严重度评分方法 ,筛选出一种更符合专科特点的颌面创伤评分方法。方法　从 115 9例颌面创伤患者中选出伤后院前时间≤ 30天、病例资料完整的患者 984例 ,分别以骨折处数和损伤部位分组 ,用ISS、RFISS和MISS法进行评分 ,用SPSS统计软件分析。结果　MISS法较RFISS法和ISS法更能准确地区分颌面单处伤和多处伤 ,对不同部位的颌面部损伤MISS法评估更有临床意义。结论　MISS法可以从颌面创伤功能损害的角度客观准确地评价颌面创伤 ,对治疗方法的选择和预后的评估更有临床指导意义。Objective To design a more reasonable method by comparing three existing injury severity scores for evaluating maxillofacial injury severity according to its features by retrospective analysis. Methods Nine hundred and eighty-four cases with maxillofacial trauma (≤30 days before hospitalization) selected from 1 159 cases were stratified by the number of fractures and the sites of trauma. The injury severity was evaluated with ISS, RFISS and MISS respectively. The results of ISS/RFISS/MISS were compared and analyzed with SPSS software. Results MISS could accurately differentiate single from multiple facial injuries. It was more meaningful for evaluating different sites of facial injury compared with ISS and RFISS. Conclusion MISS can be used to evaluate maxillofacial injury objectively and accurately.

关 键 词：颌面损伤 面部 骨折 损伤严重度评分 回顾性研究 

分 类 号：R782.4[医药卫生—口腔医学]