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目的:调查研究医院口腔颌面部骨折(OMF)患者的临床特征及治疗效果。方法:选取我院2011年2月至2013年2月期间收治的OMF患者135例作为研究对象。对患者临床特征进行全面分析,并根据患者具体情况制定相应治疗方案,分析对比临床疗效情况。结果:患者男女比例为2.14:1,平均年龄为34.6±4.2岁,其中20~30岁所占比例最高,达42.96%。骨折原因主要为交通事故,占45.19%。骨折类型以单纯型下颌骨骨折最高发,占46.67%。切开复位并行钛板钛钉内固定较单纯接受钛钉颌间牵引内固定,前者临床有效率显著高于后者,差异有统计学意义(P<0.05)。结论:OMF高发于男性青壮年,主要骨折原因为交通事故,且以单纯型下颌骨骨折类型居多,临床治疗切开复位并行钛板钛钉内固定疗效显著优于单纯接受钛钉颌间牵引内固定。
Objective: To investigate the clinical characteristics and treatment of patients with oral and maxillofacial fractures (OMF) in hospital. Methods: 135 patients with OMF admitted to our hospital from February 2011 to February 2013 were selected as the research object. The clinical features of patients with a comprehensive analysis, and according to the specific circumstances of patients to develop the appropriate treatment programs, analysis and comparison of clinical efficacy. Results: The male-female ratio was 2.14: 1, with an average age of 34.6 ± 4.2 years, of which the highest proportion was 20-30 years old (42.96%). The main causes of fractures were traffic accidents, accounting for 45.19%. The type of fracture was the highest type of simple mandibular fracture, accounting for 46.67%. Open reduction and titanium plate fixation with titanium screw fixation than simple titanium intermaxillary traction and fixation, the former clinical efficiency was significantly higher than the latter, the difference was statistically significant (P <0.05). Conclusion: OMF is more common in young and middle-aged men. The main cause of fracture is traffic accident. Most of them are simple type of mandibular fractures. The curative effect of open reduction and reduction with titanium plate and titanium screw fixation is better than that of simple intervertebral traction with titanium nail fixed.