青岛地区口腔颌面部创伤1536例回顾研究

发布时间：2018-05-06 21:38

本文选题：颌面部 + 创伤　；参考：《青岛大学》2016年硕士论文

【摘要】：目的:对青岛地区1536例口腔颌面部创伤患者进行回顾性研究,分析总结其临床流行病学特点,为提高本地区口腔颌面部创伤防治效果和救治水平提供参考依据。材料与方法:选取青岛地区比较有代表性的两家军地三级甲等医院的病案资料进行回顾分析研究,包括:2002年1月1日~2015年12月31日期间,青岛大学附属医院和中国人民解放军解放军第401医院口腔颌面外科收治的口腔颌面部创伤病例共计1536例(810+726),将数据汇总进行统计学分析,了解其临床特点,如发病原因、受伤部位、损伤程度等,进行系统、全面的分析研究。结果:口腔颌面部创伤患者人数占住院总人数17633例的8.71%,随着住院总人数逐年增加,创伤患者数量相对保持稳定;男女比为3.95:1,平均年龄30.79岁,发病率最高的是21~30岁年龄段,共468例(30.73%)。发病原因主要为交通事故伤860例(55.99%);有1188例发生颌面部骨折,占77.34%,部位以下颌骨骨折最为常见(720例,46.88%),下颌骨骨折最容易出现的是颏部骨折333例(46.25%),其次为髁状突骨折252例(35.00%),全身合并伤中最多的为颅脑损伤282例(19.01%)。结论:口腔颌面部创伤发病率与年龄和性别有关,主要好发于青壮年,男性发病率高于女性。创伤原因主要为交通事故伤。骨折为常见创伤类型,部位以下颌骨最为多见。颅脑损伤是口腔颌面部创伤最常见的全身合并伤。治疗应首先重视全身状况,优先处理颅脑及其他重要脏器的合并伤,颌骨骨折的治疗以开放复位坚强内固定为主。
[Abstract]:Objective: to study retrospectively 1536 patients with oral and maxillofacial trauma in Qingdao, and to analyze and summarize their clinical epidemiologic characteristics so as to provide a reference for improving the prevention and treatment of oral and maxillofacial trauma in Qingdao. Materials and methods: the medical records of two representative military and civilian Grade 3A hospitals in Qingdao were retrospectively analyzed, including: from January 1, 2002 to December 31, 2015, from January 1, 2002 to December 31, 2015. A total of 1536 cases of oral and maxillofacial trauma were admitted to the affiliated Hospital of Qingdao University and the 401st Hospital of the Chinese people's Liberation Army in oral and maxillofacial surgery. The data were collected and analyzed statistically to find out the clinical characteristics, such as the causes of the disease. Injury location, injury degree, etc., systematic, comprehensive analysis and research. Results: the number of trauma patients in oral and maxillofacial region accounted for 8.71% of the total number of 17633 hospitalized patients. With the increase of the total number of patients in hospital, the number of trauma patients remained relatively stable, the ratio of male to female was 3.95: 1, the average age was 30.79 years old, and the highest incidence rate was in the age group of 21 to 30 years old. There were 468 cases with 30. 73C. The main causes were 860 cases of traffic accident injury and 1188 cases of maxillofacial fracture. The most common site of mandibular fracture was fracture of mandible in 720 cases (46.88). The most common fracture of mandible was mental fracture (333 cases), followed by condylar fracture (252 cases), craniocerebral injury (282 cases) and craniocerebral injury (19.01). Conclusion: the incidence of oral and maxillofacial trauma is related to age and sex. The main cause of injury is traffic accident. Fracture is a common type of trauma, the most common site is the mandible. Craniocerebral injury is the most common combined injury in oral and maxillofacial region. The treatment should pay attention to the condition of the whole body first and give priority to the treatment of the combined injury of craniocerebral and other important organs. The treatment of jaw fracture is mainly open reduction and firm internal fixation.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R782.4

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