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1. 重庆医科大学附属口腔医院颌面外科
2. 口腔疾病与生物医学重庆市重点实验室
3. 重庆市高校市级口腔生物医学工程重点实验室
纸质出版日期:2017,
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管超, 季平, 张富贵, 等. 228例下颌骨骨折病例的回顾性研究[J]. 重庆医科大学学报, 2017,42(9):1072-1076.
Guan Chao, Ji Ping, Zhang Fugui, et al. A retrospective study of 228 cases of mandibular fracture[J]. Journal of Chongqing Medical University, 2017,42(9):1072-1076.
管超, 季平, 张富贵, 等. 228例下颌骨骨折病例的回顾性研究[J]. 重庆医科大学学报, 2017,42(9):1072-1076. DOI: 10.13406/j.cnki.cyxb.001252.
Guan Chao, Ji Ping, Zhang Fugui, et al. A retrospective study of 228 cases of mandibular fracture[J]. Journal of Chongqing Medical University, 2017,42(9):1072-1076. DOI: 10.13406/j.cnki.cyxb.001252.
目的:总结并探讨下颌骨骨折的发病特点、治疗手段、并发症等。方法:收集并整理重庆医科大学附属口腔医院2011年10月至2016年9月收治的228例下颌骨骨折住院患者。分别对每一位患者发病时的年龄、性别、职业、受伤原因、骨折位置、其他合并伤、治疗手段及并发症等加以统计和分析。结果:228例下颌骨骨折病例当中
男性发病率为女性发病率的3.15倍;常见发病年龄为(35.00±14.61)岁
工人所占比重最高
最常见的骨折原因是交通事故伤
共93例
占40.79%;骨折部位好发于正中联合部位
共119处
占36.62%;常见的合并伤为颌面部其他位置的骨折36处。本研究中
最常用的治疗手段是切开复位坚强内固定术合并颌间固定
共192例
占接受治疗患者总数的88.48%
神经损伤是本研究中最主要的并发症
共11例
占手术患者的5.07%。结论:下颌骨骨折常见于中青年男性
交通事故是首要原因
好发于正中联合部
易发生颌面部其他部位合并骨折
坚强内固定术合并颌间固定是较为有效的治疗方式
需注意避免损伤神经。
Objective:To summarize and discuss the morbidity characteristic
treatment and complications of mandibular fracture.Methods:Two hundred and twenty-eight patients with mandibular fracture were evaluated retrospectively. Their age
gender
occupation
cause of fracture
anatomic site
accompanying trauma
treatment methods and complications were collected and analyzed. All the cases were collected from October 2011 to September 2016 in Stomatological Hospital Affiliated to Chongqing Medical University.Results:Among 228 cases of mandibular fracture
the incidence of male was 3.15 times higher than that of female. The average age was approximately(35.00±14.61)years. Workers accounted for the highest proportion. Traffic accidents was the most common cause
a total of 93 cases
accounting for 40.79%
followed by falls(20.61% ). There were 325 fractures among all the cases and occurred most common
in decreasing order
in the symphysis(119 cases
36.62% )
angle(72 cases
22.15% )
condyle(65 cases
20.00% )and body(56 cases
17.23% ). Forty-one cases(17.98% )had associated injuries mostly combined midface fractures(36 fractures). Treatment included open reduction with titanium mini-plates and screws in 208 patients
and intermaxillary fixation in other 9 patients.The remaining 11 patients discharged without treatment. In this study
the treatment most commonly used was rigid internal fixation combined with intermaxillary fixation in 192 cases
accounting for 88.48% of all receiving treatment patients. Complications occurred in13 cases(5.70% )
mainly due to nerve injury(11 cases
accounting for 5.07% )followed by infection. Conclusion:Mandibular fractures occur most likely in young and middle-aged males. The most common cause is traffic accident
and symphysis is the most injured sites. Associated injuries occur in midface mostly. Rigid internal fixation combined with inter maxillary fixation is the most common mode of treatment
with relatively low rate of postoperative complications.
下颌骨骨折坚强内固定并发症
mandibular fractureinternal rigid fixationcomplication
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