颧骨颧弓骨折342例回顾性研究

发布时间：2018-05-26 04:20

本文选题：颌面部骨折 + 颧骨颧弓骨折　；参考：《新疆医科大学》2014年硕士论文

【摘要】：目的：探讨颧骨颧弓骨折的流行病学特点和治疗方式。方法：对新疆医科大学第一附属医院2002年01月至2012年01月342例在颌面外科住院的颧骨颧弓骨折患者进行回顾性分析,主要通过对其年龄、性别、季节、居住地、损伤原因、治疗时机的选择、就诊方式、外院处理情况、骨折部位、骨折类型分布、切口部位选择、固定方式等进行综合分析探讨研究。结果：432例患者中男：女=5.45：1,年龄段为7岁至77岁不等,平均年龄为34.79岁,高发年龄段为31至40岁；全年各个月份均有发病,夏季发病率稍多于其他月份,其中8月份最高；城市居民稍多于农村居民,城市：农村=1.33：1；损伤原因中交通事故比例超过一半,约占60.53%：就诊方式以转诊为主,占82.16%,其中首诊医院以清创包扎和不处理就转诊者占前两位,分别为38.79%和36.65%；治疗时机以院后2天至1周为主,占总人数的45.61%；骨折以左侧为主,占53.80%；以B型骨折最多见,占54.69%；我院手术治疗占93.27%；切口选择类以冠状切口(半冠状切口)和上颌前庭沟切口,分别为35.08%和33.56%；固定方式以三点固定为主,占29.47%。结论：颧骨颧弓骨折主要是青壮年城市男性；交通事故为首要的损伤原因,夏季好发；首诊医院大多数处理方式是清创包扎；手术时机多数在一周之内进行；以冠状切口和上颌前庭沟切口占首位；以颧牙槽脊、眶下缘和颧额缝为主的三点固定为主。
[Abstract]:Objective: to investigate the epidemiological characteristics and treatment of zygomatic arch fracture. Methods: 342 cases of zygomatic fracture in maxillofacial surgery from January 2002 to January 2012 in the first affiliated Hospital of Xinjiang Medical University were analyzed retrospectively. The choice of treatment opportunity, treatment mode, treatment condition, fracture site, fracture type distribution, incision site selection, fixation method and so on were comprehensively analyzed and studied. Results among 432 patients, male was 5.45: 1, age ranged from 7 to 77 years old, average age was 34.79 years old, the high incidence age was 31 to 40 years old, the incidence rate in summer was slightly higher than that in other months, among which August was the highest. Urban residents were slightly more than rural residents, urban: rural areas 1.33: 1; traffic accidents accounted for more than half of the injury causes, accounting for about 60.53. Referral was the main method of treatment, accounting for 82.16.The first consultation hospitals accounted for the first two in terms of debridement, bandaging and untreated referrals. 38.79% and 36.65%, respectively, the time of treatment was mainly from 2 days to 1 week after the hospital, accounting for 45.61% of the total number of patients, the fracture was mainly on the left side, accounting for 53.80%, and type B fracture was the most common. The choice of incision was coronal incision (semi-coronal incision) and maxillary vestibular sulcus incision, which were 35.08% and 33.56%, respectively. Conclusion: the fracture of zygomatic arch is mainly young and middle-aged urban male, traffic accident is the primary cause of injury, it is easy to happen in summer, most of the treatment methods in the first visit hospital are debridement and bandage, most of the time of operation is within one week. The coronal incision and maxillary vestibular sulcus incision were the first, and the three point fixation of zygomatic alveolar ridge, inferior orbital margin and zygomatic-frontal suture were the main fixation.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R782.4

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