创伤严重度评分与颌面多发骨折整复预后的相关性分析

The correlation analysis between trauma severity score and maxillofacial multiple fracture restoration prognosis

目的:探讨创伤严重度评分与颌面多发骨折整复预后的相关性。方法:120例颌面多发骨折患者采用颌面损伤严重度评分(Maxi l l of aci al I nj ur y Sever i t y Scor e,MI SS)进行创伤严重度评分,然后采用积极的手术治疗,观察预后的治愈与并发症发生情况。结果:120例患者入院时平均MISS分值为(20.36±6.32)分;治愈100例,治愈率为83.3%,无死亡患者;发生并发症32例,发生率为26.7%。MI SS≤15分组的治愈率最高,随着MI SS评分的增加,治愈率逐渐降低(P<0.05)。MI SS≤15分组的并发症发生率最低,随着MISS评分的增加,并发症发生率逐渐升高(P<0.05)。结论:对颌面多发骨折患者进行MISS法评分,可以判断出患者的损伤严重度与预后情况,在临床应用中具有较多的优点。

Objective To investigate the correlation between trauma severity score and maxillofacial multiple fracture restoration prognosis. Methods 120 patients with maxillofacial multiple fractures were used the maxillofacial injury severity score （Maxillofacial Injury Severity Score, MISS） to injury severity score,then were used aggressive surgical restoration, observed the healing and complications situations. Results The average MISS score was 20.36＋6.32 when were admitted to hospital;100 cases were cured, the cure rate was 83.3% and no deaths;complications were occurred in 32 cases,the rate was 26.7%.The cure rate was highest and the complication rate was the lowest in the MISSy〈 15 group, the rate were gradually reduced and increased （P〈0.05）. Conclusion The MISS method is used in the maxillofacialmultiple fracture patients can determine the patient＇s injury severity and prognosis,it has more advantages in clinical applications.