441例颌面部车祸外伤的回顾性分析

A retrospective study of 441 patients with oral and maxillofacial traffic trauma

目的：了解口腔颌面部车祸外伤的流行病学特点。方法：收集2015年3月-2017年3月口腔科治疗的急诊车祸外伤患者441例的临床资料，进行回顾性分析。结果：颌面部车祸外伤发病平均年龄31．22±20．08岁，男女比例为2．9：1，大部分发生在成年人身上。并发症包括牙齿外伤、血肿、休克、异物存留、神经损伤、颌骨骨折、明显瘢痕增生，面部畸形，肌肉萎缩。结论：颜面部车祸外伤早期处理给患者减少并发症的发生。

Objective： To analyze the epidemiological characters of Oral and maxillofacial trauma in traffic accident by the retrospective study. Methods ： The clinical data of 441 patients with traumatic accidents in the emergency department from Mar. 2015 to Mar. 2017 were collected for retrospective analysis. Results： The average age of carnal trauma in maxillofacial trauma was （ 31.22 ± 20.08 ） years. The male and female ratio was 2.91 ： 1, the majority of which occurred in adults. Complications include dental trauma, hematoma, shock, for- eign body retention, nerve damage, maxillofacial fractures, obvious scar hyperplasia, facial deformity, muscle atrophy. Conclusion： Ear- ly treatment of facial trauma could reduce the complication.