86例儿童颌面部骨折的临床分析

A clinical analysis of 86 maxillofacial fractures in children

对第四军医大学口腔医院颌面外科2000-01～2008-06月收治86例12岁以下(包括12岁)儿童颌骨骨折患者的年龄、性别、发病时间、致伤原因、好发部位、治疗特点进行回顾性分析。结果发病年龄最小1岁1月,男女比2.19∶1。夏季多发。交通事故为首要病因。下颌骨骨折居首位,保守治疗比例明显高于手术治疗,髁突骨折80%保守治疗,上颌骨、颧骨颧弓手术率低于50%。通过分析认为男孩比女孩发病率高,交通事故是骨折主要原因,骨折以下颌骨常见,多采用保守治疗。

An analysis of the characteristics of the facial fractures in children was performed in this paper by investigating the cases of thefacial fractures in children. In the study,86 cases of facial fractures in children under 12 years from January 2000 to June 2008 were reviewed ,who were treated by the Fourth Military Medical University. The information included the age, gender, time distribution of jury, type of fracture, nerve injury, and associated systemic injuries. The youngest age was 13 months, the ratio of male to female was 2.19：1. The majority of fractures were occurred in summer. The most cases were caused by the traffic accidents, and the mandible fractures were higher than others. The number of conservative treatment were higher than operation ,78% cases of condyle fractures were treated conservative, the operation of maxilla and zygomatic arch fracture were less than 50%. The males were higher than the females according to the facial fracture in children. Traffic accident was the main risk factor of condylar fracture. The mandibular fractures were occurred frequently and treated normally by conservative method.