Clinical analysis of midfacial fractures.
Clinical analysis of midfacial fractures.
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DOI：
10.5455/msm.2014.26.21-25
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发表时间：
2014-02
期刊：
影响因子：
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通讯作者：
Kirita T
中科院分区：
文献类型：
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作者：
Yamamoto K;Matsusue Y;Horita S;Murakami K;Sugiura T;Kirita T
分析面中部骨折的特点。对近10年来收治的320例面中部骨折患者的临床资料进行回顾性分析。 其中男性192例，女性128例。年龄1 ~ 96岁，平均42.1岁。在168例患者中，最常见的伤害是交通事故，其次是福尔斯78例，袭击31例和运动25例。骨折类型：颌骨骨折159例，牙槽骨骨折60例，多发性骨折54例，上颌骨骨折45例，鼻骨骨折2例。面部损伤严重度评分1 ~ 12分，平均1.52分。在90例患者中发现了身体其他部位的损伤。多部位骨折的面部损伤严重程度评分较高，且与身体其他部位损伤的发生率较高。153例患者最常选择观察，其次是切开复位内固定72例，颌内固定43例，经皮复位26例。 面中部骨折在部位、严重程度和相关损伤方面表现出多种特征。了解这些特征对于正确管理这些患者非常重要。
To analyze the features of midfacial fractures. Data of 320 patients treated for midfacial fractures during the past 10 years were retrospectively analyzed. Patients were 192 male and 128 female. Their age ranged from 1 to 96 years old with the average of 42.1. Injury most frequently occurred by traffic accidents in 168 patients, followed by falls in 78, assaults in 31 and sports in 25. Pattern of the fractures was classified into zygoma in 159 patients, alveolus in 60, multiple sites in 54, maxilla in 45 and nasal bone in 2. Facial injury severity scale ranged from 1 to 12 with the average of 1.52. Injuries to other sites of the body were found in 90 patients. Fractures of multiple sites showed higher facial injury severity scale and were associated with injuries to other sites of the body at a higher rate. Observation was most frequently chosen in 153 patients, followed by open reduction and internal fixation in 72, intramaxillary fixation in 43 and transcutaneous reduction in 26. Midfacial fractures showed a variety of features in terms of the site and severity and associated injuries. Understanding these features is important to manage these patients properly.