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目的探讨颌面创伤的治疗效果。方法选取2010年至2013年间我院收治的148例口腔颌面部损伤患者的完整资料为临床探究依据。分析患者的致伤因素、外伤分布,对患者的软组织进行清创处理及抗感染治疗,对外伤牙进行治疗,对颌骨骨折进行牵引复位。结果 148例患者颌面部外伤患者中,男性多于女性,创伤多发于20~40岁,交通伤居首位,在各类创伤中,颌面部单纯软组织伤及下颌骨骨折最常见,其次是上颌骨和颧骨。结论软组织损伤均早期清创缝合,尽量保留组织。对于骨折应早期复位固定。切开复位内固定,术后可以早期活动有利于骨折愈合。
Objective To investigate the treatment of maxillofacial trauma. Methods The complete data of 148 cases of oral and maxillofacial injuries admitted to our hospital from 2010 to 2013 were selected as the basis for clinical study. Analysis of the patient’s injury factors, distribution of trauma, debridement and anti-infection treatment of soft tissue of patients, treatment of traumatic teeth, jaw fracture reduction traction. Results 148 cases of maxillofacial trauma patients, more men than women, trauma occurred in 20 to 40 years of age, traffic injuries ranked first in all types of trauma, maxillofacial simple soft tissue injury and mandibular fractures most common, followed by Is the maxilla and cheekbones. Conclusion Soft tissue injury were early debridement and suture, try to retain the organization. For the fracture should be reset early fixation. Open reduction and internal fixation, postoperative early activities conducive to fracture healing.