3种创伤严重度评分法对下颌骨骨折评估的对比分析

Comparative Study on Three Traumatic Scores for Mandibular Fracture Scores

目的:对比3种创伤评分方法对下颌骨骨折损伤评分的差异性,分析以下颌骨损伤为主,具有统计学意义的评分方法。方法:对372例(创伤时间<2周)下颌骨骨折患者,应用MISS、MFISS及下颌骨损伤严重度评分(S5)3种颌面部创伤评分法进行创伤评分,最终对3种评分方法所得结果进行对比分析。结果:MISS法及MFISS法较下颌骨损伤严重度评分(S5)法更能准确地区分下颌骨单处和多处伤,并对不同部位的下颌骨损伤评估更有临床意义,其中以MISS法差异最为显著。结论:对于下颌骨骨折情况,下颌骨损伤严重度评分(S5)法与MISS法、MFISS法相比,不及后两者评分体系敏感。

Objective: To compare the scores of the three kinds of trauma scoring methods for mandibular fracture injury and to analyze the statistical evaluation of the scores of the following mandibular injuries.Methods: A total of 372 patients (wound period <2 weeks) with mandibular trauma were assessed with MISS,MFISS,and mandibular injury severity scores (S5) for maxillary trauma scores.The results were compared and analyzed.Results: The MISS method and the MFISS method could accurately differentiate single from multiple mandibular injuries.They were more meaningful for evaluating different sites of mandibular fractures compared with the mandibular injury severity score (S5) method.Conclusion: For mandibular fractures,the mandibular injury score (S5) is less sensitive than the MISS and MFISS.