颌面口腔创伤216例临床分析

Oral and maxiliofacial trauma in 216 cases

目的探讨颌面口腔创伤的临床特点及治疗方法。方法回顾性分析2003年1月至2008年4月收治的216例颌面口腔创伤患者的临床资料。结果212例经Ⅰ期或Ⅱ期颌面外科手术治疗后，咬牙争关系正常，面容有所改善，功能基本恢复，术后X线片及CT显示骨折复位良好；4例重度颅脑损伤患者未行颌面部手术。结论颌面口腔创伤救治应具有整体与局部观念，选择合理治疗方案，骨折采用坚强内固定技术与传统手术方法结合，软组织损伤尽量Ⅰ期缝合，力求达到恢复伤前面部形态和口颌功能。

Objective To investigate the clinical features and treatment of patients with oral and maxillofacial trauma. Methods Clinical data of 216 patients with oral and maxillofacial trauma from January 2003 to April 2008 were collected and retrospectively analyzed. Results Occlusal relationship became normal, facial appearance improved and function recovered in 212 patients after treatment of phase Ⅰ and Ⅱ surgery. Well fracture reposition were found by X - ray and CT after operation. 4 patients with severe brain injury did not given orthognathic facial surgery. Conclusions Overall and local concepts should be pay more attention on treatment of oral and maxillofacial trauma. Reasonal treatment plan should be selectted. Using rigid internal fixation combined with traditional surgical techniques for fractures, stage I suture for soft tissue injury are good chioces to recover facial appearance and stomatognathic.