226例上颌骨骨折的临床分析

A clinical analysis of 226 cases with maxillary fractures

目的探讨上颌骨骨折的原因、类型及治疗方法。方法总结226例上颌骨骨折患者的临床资料,对其致伤原因,年龄构成,骨折类型和治疗方法进行回顾性研究。结果本组226例患者中,20～29岁年龄组患者最多,占33.2%;交通事故伤为主要的致伤原因,占58.0%;LeFortⅡ型骨折为主要的骨折类型,占49.1%;治疗方法以切开复位内固定为主,占53.1%,术后绝大多数患者均取得了满意的面形和功能疗效。结论上颌骨骨折好发于青壮年男性,多为LeFortⅡ型骨折,其治疗目前是以切开复位内固定为主,它具有复位精确,固定稳定,病人痛苦少,疗效可靠等优点,是一种较为理想的治疗方法,值得临床进一步推广应用。

Objective To investigate the cause,type and treatment of maxillary fractures. Methods A total of 226 cases with maxillary fractures were retrospectively analysed. The study focused on the cause,age,type and treatment of maxillary fractures. Results Of the 226 cases, 20-29-year-old patients accounted for 33.2%.The most common cause of injury was traffic accidents(58.0%). Le FortⅡ fracture was most common type (49.1%) and open reduction and rigid internal fixation was most commonly used(53.1%) in all cases. All results of treatments were satisfactory.Conclusion Open reduction and rigid internal fixation was effective in the treatment of maxillary fractures. It has the advantages of accurate reposition,stabile fixation,less pain and reliable effectiveness.