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目的:总结颌面部骨折病因、骨折类型以及临床诊疗方法。方法:收集355例颌面部骨折患者的临床资料,对其年龄构成、致伤原因、骨折类型及治疗方法进行统计分析。结果:355例颌面部骨折患者中,20～39岁者最多,占47.32%,交通事故伤为主要致伤原因,占52.12%,大部分病例伤后2周以内进行治疗,占67.61%,下颌骨骨折为主要受伤类型,占46.48%,多发性骨折其次,占29.86%,治疗方法以开放复位内固定为主,占75.49%,部分联合颌间牵引、颅颌固定治疗,术后绝大多数患者取得了满意的面形和功能疗效。结论:颌面部骨折好发于青壮年男性,交通事故伤为主要致伤原因,下颌骨骨折占受伤类型多数,多发性骨折居其次,治疗以开放复位内固定为主,可以达到精确、稳定复位,病人痛苦少,疗效可靠。
Objective: To summarize the causes of maxillofacial fractures, fracture types and clinical diagnosis and treatment methods. Methods: The clinical data of 355 patients with maxillofacial fractures were collected and their age, causes of injury, types of fractures and treatment methods were analyzed statistically. Results: Among 355 patients with maxillofacial fractures, the highest was 20-39 years old, accounting for 47.32%. Traffic accident was the main cause of injury, accounting for 52.12%. The majority of cases were treated within 2 weeks after injury, accounting for 67.61% Mandibular fractures were the main types of injuries, accounting for 46.48%, followed by multiple fractures, accounting for 29.86%. The treatment was mainly open reduction and internal fixation, accounting for 75.49%. Some combined with intermaxillary traction and craniomaxillary fixation, Most patients have achieved satisfactory face shape and functional efficacy. Conclusion: Maxillofacial fractures occur in young and middle-aged males. Traffic accident is the main cause of injury. Mandibular fractures account for the majority of injuries and multiple fractures are followed. Treatment is mainly open reduction and internal fixation, which can achieve accurate and stable Reset, less patient pain, efficacy and reliable.