颌面部创伤急诊整形手术256例临床分析

Clinical analysis of 256 cases of facial plastic surgery in maxillofacial trauma

目的探讨颌面部创伤急诊整形手术的经验和治疗效果。方法选取乐至县人民医院2011年4月至2017年3月急诊整形手术的颌面部创伤患者256例为研究对象，对创伤原因、部位、治疗方法、临床效果进行统计分析。结果256例中，交通事故伤125例，工农业伤68例，生活意外伤48例，打架斗殴伤13例，动物咬伤2例；其中面下部121例，面中部73例，面中部、面下部联合伤39例，面上部23例；98例伴有颌面部骨折；105例患者存在不同程度软组织缺损；全部患者伤口均一期愈合，拆线后伤口对位良好，表面平整，瘢痕纤细，五官无明显改变，无并发症。随访3～6个月，瘢痕不明显，外观满意。结论对颌面部创伤进行急诊整形手术临床效果满意，急诊整形手术可作为基层医院颌面部创伤急诊处理的常用治疗方法。

Objective To investigate the experience and effect of emergency cosmetic surgery for maxillofacial trauma. Methods From April 2011 to March 2017,256 patients with maxillofacial trauma in emergency cosmetic surgery in the People＇s Hospital of Lezhi County were selected in the study. The causes,locations, treatment methods and clinical effects were analyzed. Results In 256 cases, 125 cases of traffic accident injury,68 cases of agricultural and industrial injury,48 cases of accidental injury,13 cases of asfights,2 cases of animal bites ;of which 121 cases of lower face ,73 cases of midface ,39 cases of midface and lower face together ,23 cases of upper face ;98 cases of maxillofacial region fracture; 105 patients had different degree of soft tissue defect. All patients the wound healed in primary healing, after stitches the wound healing in good contraposition, surface leveling, scar slender, facial features did not change significantly, no complications were observed. After 3 - 6 months of follow - up, the scar was not obvious and the appearance was satisfactory. Conclusion The clinical effect of emergency cosmetic surgery for maxillofacial trauma is satisfactory. Emergency cosmetic surgery can be used as an emergency treatment for maxillofacial trauma in primary hospital.