156例颅颌面骨折治疗的临床分析

Clinical analysis of 156 patients with craniofacial fracture

目的回顾性研究颅颌面骨折患者的治疗方法。方法选取佛山市中医院口腔颌面外科2017年1月至2019年12月收治的156例颅颌面骨折患者,经过急诊CT确诊有颅脑外伤并颌面部骨折患者为纳入标准。首先于脑外科处理颅脑外伤,给予护脑、抗炎、脱水等对症处理,病情稳定后手术治疗行颌面部骨折切开复位内固定术,术中麻醉注意保持血压稳定,术后继续脑外科及口腔科专科对症治疗,并康复治疗3~6个月。结果156例颅颌面骨折损伤患者中,16例患者张口受限,9例有面瘫症状,其余患者康复满意。结论颅颌面骨折患者治疗应评估好手术时机择期手术,围手术期应密切观察患者颅脑病情变化。

Objective To study the treatment of cranial-maxillofacial fracture retrospectively.Method A total of 156 patients with cranial-maxillofacial fractures were admitted to the Department of Stomatology,Foshan Hospital of Traditional Chinese Medicine from January 2017 to December 2019.All patients with cranial-maxillofacial fractures were confirmed by emergency CT.The patients were treated by neurosurgery for craniocerebral trauma,and given symptomatic treatment such as brain cell protection,anti-inflammatory,dehydration.After the brain condition was stabilized,the patients received surgical treatment,underwent maxillofacial fracture surgical treatment,stable blood pressure maintained by the anesthesiologist.After operation,the patients continued having symptomatic treatment in neurosurgery and stomatology department,and then rehabilitation therapy for 3 to 6 months.Results There were 156 patients with cranial-maxillofacial fracture injury,16 patients with limited mouth opening,9 patients with facial paralysis,and the rest of the patients recovered satisfactorily.Conclusions The treatment of cranial-maxillofacial fractures should be evaluated for stability and then performed operation,and the condition of patients should be closely observed during the perioperative period.