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目的 :通过对本院621例颅颌面骨折患者回顾分析,了解本地区颅颌面骨折患者的流行病学特点。方法 :对上海交通大学医学院附属第九人民医院颅颌面外科、眼科、耳鼻咽喉科、神经外科、整形外科2015年7月—2016年8月期间收治的621例颅颌面骨折患者的年龄、性别、病因、骨折部位分布等信息进行分析。采用SPSS 22.0软件包对单发及多发骨折的病因差异进行χ~2检验。结果:621例颅颌面骨折的男女比为2.18∶1;平均发病年龄为(34.7±15.5)岁,19~29岁(28.3%)为骨折的高发年龄段;交通事故在致伤原因中居于首位(49.0%);在骨折部位中,眼眶骨折319例(51.4%),发生率最高,其次分别为颧骨、颧弓(292例,47.0%)、下颌骨(247例,39.8%)。结论:骨折发生的数量、部位等与致伤原因、受力性质及相应部位的解剖结构有关。建立完善的交通事故救治体系及相关法律,是亟须解决的问题。
Objective: To retrospectively analyze 621 patients with craniomaxillofacial fractures in our hospital to understand the epidemiological characteristics of patients with craniomaxillofacial fractures in our hospital. METHODS: The age of 621 patients with craniomaxillofacial fractures admitted to the Department of Craniomaxillofacial Surgery, Department of Ophthalmology, Otorhinolaryngology, Neurosurgery, and Plastic Surgery, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine from July 2015 to August 2016 , Gender, etiology, fracture site distribution and other information for analysis. SPSS 22.0 software package was used to test the etiology of single and multiple fractures. Results: The ratio of male to female in 621 cases of craniomaxillofacial fractures was 2.18:1. The mean age of onset was 34.7 ± 15.5 years old and 19-29 years (28.3%) was the high incidence of fractures. Traffic accidents occurred in the causes of injuries (49.0%). Among the fractures, 319 cases (51.4%) had the highest incidence of orbital fractures, followed by zygoma, zygomatic arch (292 cases, 47.0%) and mandible (247 cases, 39.8%). Conclusion: The number and location of fractures are related to the cause of injury, the nature of stress and the anatomy of the corresponding parts. Establishing and improving a system to deal with traffic accidents and related laws is an urgent issue to be solved.