外鼻骨折分型及骨折部位对鼻中隔影响的CT分析

发布时间：2018-05-23 18:04

  本文选题：骨折 + 鼻骨　； 参考：《临床耳鼻咽喉头颈外科杂志》2014年08期

【摘要】：目的:探讨外鼻骨折的类型及分布,探究外鼻骨折对鼻中隔的影响。方法:随机选取因鼻外伤行鼻骨CT检查并最终确诊为外鼻骨折的患者60例,于计算机PACS系统上对该组患者的CT影像学资料进行观察及测量。结果:60例鼻外伤患者中共90侧出现外鼻骨折,其中鼻骨骨折58侧(64.4%),上颌骨额突骨折16侧(17.8%),二者同时骨折16侧(17.8%)。60例患者中,30例为单侧外鼻骨折,其中伴外伤性鼻中隔偏曲14例,占46.7%;30例为双侧外鼻骨折,伴外伤性鼻中隔偏曲26例,占86.7%;二者差异有统计学意义(P0.01)。骨折仅累及鼻骨或上颌骨额突者24例,伴外伤性鼻中隔偏曲11例,占45.8%;骨折同时累及鼻骨和上颌骨额突者36例,伴外伤性鼻中隔偏曲29例,占80.6%;二者差异有统计学意义(P0.01)。外鼻骨折分型:Ⅰ型(单侧外鼻骨折)16例,其中Ⅰa型(鼻骨或上颌骨额突骨折)15例(25.0%),Ⅰb型(鼻骨及上颌骨额突均骨折)1例(1.7%);Ⅱ型(双侧外鼻骨折)4例,其中Ⅱa型(鼻骨或上颌骨额突骨折)2例(3.3%),Ⅱb型(鼻骨及上颌骨额突均骨折)2例(3.3%);Ⅲ型(伴外伤性鼻中隔偏曲)40例(66.7%)。结论:外鼻骨折患者中伴有外伤性鼻中隔偏曲的比例较高,对症状较重或对外形有较高需求的患者,应于骨折1个月内同时行鼻内镜下外鼻整复术及鼻中隔偏曲矫正术,可以得到较满意的效果。
[Abstract]:Objective: to investigate the types and distribution of external nasal fractures and the influence of external nasal fractures on nasal septum. Methods: 60 patients with nasal fracture were randomly selected for nasal bone CT examination and finally diagnosed as external nasal fracture. The CT imaging data of the patients were observed and measured on the computer PACS system. Results there were 90 cases of external nasal fracture in 60 patients with nasal trauma, including 58 cases of nasal bone fracture, 64.4 sides of nasal fracture, 16 sides of maxillary frontal process fracture, and 16 sides of bilateral fracture of maxillary frontal process. Among the 60 cases, 30 cases were unilateral external nasal fracture, among which 14 cases were accompanied by traumatic deviation of nasal septum. There were 30 cases of bilateral external nasal fracture and 26 cases of traumatic deviation of nasal septum (86.7%), the difference was statistically significant (P 0.01). There were only 24 cases involved in frontal process of nasal bone or maxilla, 11 cases with traumatic deviation of nasal septum, 36 cases with frontal process of nasal bone and maxillary bone, 29 cases with traumatic deviation of nasal septum (80.6%), the difference was statistically significant (P 0.01). Types of external nasal fractures: type 鈪，

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