口腔颌面部多发性骨折及并发症的诊治分析

Diagnosis analysis of oral and maxillofacial multiple fractures and complications

目的:总结分析口腔颌面部多发性骨折以及并发症的病因、临床特点、治疗方法。方法:本院2008年5月～2009年7月,本科收治76例口腔颌面部多发性骨折患者,对其性别、年龄、骨折类型、病因、治疗、全身损伤、手术并发症等方面,进行综合性分析研究。结果:口腔颌面部多发性骨折患者中,男性患者58例,平均年龄33岁;交通意外44例;下颌骨骨折29例;并发颅脑损伤患者62例。经治疗后61例患者治愈,咬颌关系已恢复正常并且骨折愈合较好;12例患者咬颌紊乱并且张口受限,后经治疗逐渐恢复正常;3例患者有面部畸形,以及咬颌紊乱,尚需进一步的治疗。结论:口腔颌面部骨折青壮年患者居多,最主要的病因为交通意外,治疗时首先应处理患者颅脑损伤以及失血性休克等严重危及到患者生命的并发症,待患者病情较为平稳之后,再及早治疗患者颌面部多发性骨折。

Objective： Summary of oral and maxillofacial fractures and complications of multiple etiology, clinical characteristics, treatment. Methods： Our hospital in May 2008-July 2009, 76 cases were treated in our department of oral and maxillofacial fractures in patients with multiple, according to their gender, age, fracture type, etiology, treatment, body injury, surgical complications, etc., to analysis the undertake comprehensive. Results： Oral and maxillofacial patients with multiple fractures, 58 cases of male patients, average age of 33 years; traffic accidents in 44 cases; 29 cases of mandibular fracture; 62 patients with traumatic brain injury complicated by. After treatment, 61 patients were cured, bite and jaw relations had returned to normal fracture healing well; 12 patients with occlusion disorders and trismus after gradually returning to normal after treatment; 3 patients had facial deformity, and occlusion disorders requires further treatment. Conclusion： Oral and maxillofacial fractures are mostly young adults, the most important disease because of traffic accidents, treatment, patients should first deal with traumatic brain injury and hemorrhagic shock and other serious life-threatening complications in patients until after the patient′s condition is relatively stable, then early treatment of multiple fractures in patients with maxillofacial.