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目的 用损伤严重度评分 (ISS)法改良后得到的改良面部ISS(revisedfacialinjuryseverityscore ,RFISS)法评价 1134例颌面部创伤。 方法 将急诊入院的 1134例颌面部创伤病例依损伤部位分为颌面部单一伤 (A组 )、颌面部多处伤 (B组 )两组 ,用ISS法和RFISS法分析。 结果 ISS法和RFISS法都能判别A组与B组伤情严重度 ,两组比较 ,差异有非常显著性意义 (P <0 .0 1)。但RFISS更能将伤情严重程度显示出来。另外 ,在反映损伤处数方面 ,RFISS法也优于ISS法 (P <0 .0 1)。 结论 在颌面部损伤严重度研究中 ,RFISS法有效 ,且优于ISS法。
Objective To assess the maxillofacial trauma in 1134 patients with modified facial ISS (RFISS) method, which was improved by the severity of injury (ISS) method. Methods A total of 1134 cases of maxillofacial trauma admitted to the emergency department were divided into two groups based on single injury of maxillofacial region (group A) and multiple injuries of maxillofacial region (group B). The ISS and RFISS methods were used to analyze the maxillofacial injuries. Results Both ISS and RFISS were able to determine the severity of injury in group A and group B. There was a significant difference between the two groups (P <0.01). However, RFISS can show the severity of the injury. In addition, RFISS was superior to ISS in reflecting the number of lesions (P <0.01). Conclusion In the study of maxillofacial injury severity, RFISS is effective and superior to ISS.