198例老年颌面部骨折患者临床分析

doi:10.7518/hxkq.2018.06.017

华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (6): 671-674.doi: 10.7518/hxkq.2018.06.017

198例老年颌面部骨折患者临床分析

龚玉萍,李锐(),王颖,康鹏,蔡菁华,刘一鸣,甘抗

郑州大学第一附属医院口腔颌面外科,郑州 450052

收稿日期:2018-01-13 修回日期:2018-05-19 出版日期:2018-12-01 发布日期:2018-12-12
通讯作者: 李锐 E-mail:fcclir@zzu.edu.cn
作者简介:龚玉萍,硕士,E-mail： gongyupingkq@126.com
基金资助:
国家自然科学基金(31670994);河南省卫生和计划生育委员会普通项目(201602023);河南省自然科学基金(1823004-10340)

Clinic analysis of 198 elder patients with maxillofacial fracture

Yuping Gong,Rui Li(),Ying Wang,Peng Kang,Jinghua Cai,Yiming Liu,Kang Gan

Dept. of Oral and Maxillofacial Surgery, The First Affliated Hospital of Zhengzhou University, Zheng-zhou 450052, China

Received:2018-01-13 Revised:2018-05-19 Online:2018-12-01 Published:2018-12-12
Contact: Rui Li E-mail:fcclir@zzu.edu.cn
Supported by:
The National Natural Science Foundation of China(31670994);Health and Family Planning Commission of Henan Province(201602023);The National Science Foundation of Henan Province(1823004-10340)

摘要/Abstract

摘要：

目的了解老年颌面部骨折患者的临床特征。方法对2010年7月—2017年10月收治的198例老年颌面部骨折手术患者的临床资料进行回顾,分析创伤原因、骨折部位、合并伤、系统性疾病、治疗方法等临床特征。结果 198例老年颌面部骨折患者,男女比3.95︰1,平均年龄66.15岁;交通事故伤（78例,39.39%）、摔伤（49例,24.75%）、高坠伤（33例,16.67%）是老年人颌面部骨折的主要原因;下颌骨是最常见的骨折部位（120例）;60例患者同时伴发颌面部以外的创伤,四肢损伤最多（28例）;66例患有系统性疾病,最常见的是心血管疾病（50例）。198例患者的治疗方法主要是小型或微型接骨板切开复位坚强内固定。结论坠跌伤和交通事故伤是老年颌面部骨折的主要原因,应采取有效的预防和干预措施。

关键词: 老年患者, 颌面部骨折, 回顾性研究

Abstract:

Objective The purpose of the study was to analyze the characteristics of elder patients with maxillofacial fracture.Methods We retrospectively analyzed the characteristics of maxillofacial fractures in the elder patients, who were treated from July 2010 to October 2017. The clinical characteristics of the etiology, fracture site, combined injury, systemic disease, and treatment method were analyzed.Results In the 198 elderly patients with maxillofacial fractures, the male-to-female ratio was 3.95︰1, and the mean age was 66.15 years old. Traffic accident injury (78 patients, 39.39%), fall injury (49 patients, 24.75%), high fall injury (33 patients, 16.67%) were the main factors of maxillofacial fracture in elderly patients. The most frequently observed fracture site was the mandible (120 patients). A total of 60 patients demonstrated associated injuries, in which limb injuries were the most prevalent (28 patients); whereas 66 patients had other systemic medical conditions, in which cardiovascular diseases was the most frequent (50 patients). The main treatment method of 198 patients was rigid internal fixation with small or micro-plates.Conclusion Falling and traffic accidents are the main factors of maxillofacial fracture in elderly patients. Thus, interference measures should be observed for the prevention of maxillofacial fractures in elderly patients.

Key words: elderly patient, maxillofacial fracture, retrospective study

中图分类号:

R782.4

龚玉萍,李锐,王颖,康鹏,蔡菁华,刘一鸣,甘抗. 198例老年颌面部骨折患者临床分析[J]. 华西口腔医学杂志, 2018, 36(6): 671-674.

Yuping Gong,Rui Li,Ying Wang,Peng Kang,Jinghua Cai,Yiming Liu,Kang Gan. Clinic analysis of 198 elder patients with maxillofacial fracture[J]. West China Journal of Stomatology, 2018, 36(6): 671-674.

图/表 3

参考文献 19

[1]	Li R, Zhang R, Li WL , et al. Analysis of 126 hospitalized elder maxillofacial trauma victims in central China[J]. Med Oral Patol Oral Cir Bucal, 2015,20(4):e464-e470. doi: 10.4317/medoral.20551 URL pmid: 4523260
[2]	Chrcanovic BR . Factors influencing the incidence of ma-xillofacial fractures[J]. Oral Maxillofac Surg, 2012,16(1):3-17. doi: 10.1007/s10006-011-0280-y URL pmid: 21656125
[3]	Gassner R, Tuli T, Hächl O , et al. Cranio-maxillofacial trauma: a 10 year review of 9 543 cases with 21 067 injuries[J]. J Craniomaxillofac Surg, 2003,31(1):51-61. doi: 10.1016/S1010-5182(02)00168-3 URL pmid: 12553928
[4]	Ramos Chrcanovic B, Napier Souza L, Freire-Maia B , et al. Facial fractures in the elderly: a retrospective study in a hospital in belohorizonte, brazil[J]. J Trauma, 2010,69(6):E73-E78. doi: 10.1097/TA.0b013e3181cc847b URL pmid: 20693928
[5]	Arangio P, Vellone V, Torre U , et al. Maxillofacial fractures in the province of Latina, Lazio, Italy: review of 400 injuries and 83 cases[J]. J Craniomaxillofac Surg, 2014,42(5):583-587. doi: 10.1016/j.jcms.2013.07.030 URL pmid: 24035287
[6]	Tatsumi H, Nakatani E, Kanno T , et al. Clinical features and treatment modes of mandibular fracture at the department of oral and maxillofacial surgery, Shimane university hospital, Japan[J]. PLoS One, 2015,10(9):e0136278. doi: 10.1371/journal.pone.0136278 URL
[7]	Afrooz PN, Bykowski MR, James IB , et al. The epidemio-logy of mandibular fractures in the United States, part 1: a review of 13 142 cases from the US national trauma data bank[J]. J Oral Maxillofac Surg, 2015,73(12):2361-2366. doi: 10.1016/j.joms.2015.04.032 URL pmid: 26006752
[8]	Cabalag MS, Wasiak J, Andrew NE , et al. Epidemiology and management of maxillofacial fractures in an Australian trauma centre[J]. J Plast Reconstr Aesthet Surg, 2014,67(2):183-189. doi: 10.1016/j.bjps.2013.10.022 URL pmid: 24200703
[9]	Arslan ED, Solakoglu AG, Komut E , et al. Assessment of maxillofacial trauma in emergency department[J]. World J Emerg Surg, 2014,9(1):13. doi: 10.1186/1749-7922-9-13 URL pmid: 3912899
[10]	Atisha DM, Burr TV, Allori AC , et al. Facial fractures in the aging population[J]. Plast Reconstr Surg, 2016,137(2):587-593. doi: 10.1097/01.prs.0000475791.31361.9a URL pmid: 26818295
[11]	Lee JH, Cho BK, Park WJ . A 4-year retrospective study of facial fractures on Jeju, Korea[J]. J Craniomaxillofac Surg, 2010,38(3):192-196. doi: 10.1016/j.jcms.2009.06.002 URL pmid: 19577480
[12]	Nordin R, Rahman NA, Rashdi MF , et al. Oral and maxillo-facial trauma caused by road traffic accident in two univer-sity hospitals in Malaysia: a cross-sectional study[J]. J Oral Maxillofac Surg Med Pathol, 2015,27(2):166-171. doi: 10.1016/j.ajoms.2014.01.001 URL
[13]	Kannus P, Sievänen H, Palvanen M , et al. Prevention of falls and consequent injuries in elderly people[J]. Lancet, 2005,366(9500):1885-1893. doi: 10.1016/S0140-6736(05)67604-0 URL
[14]	李逸松, 田卫东, 李声伟 , 等. 颌面创伤3 958例临床回顾[J]. 中华口腔医学杂志, 2006,41(7):385-387. doi: 10.3760/j.issn:1002-0098.2006.07.001 URL
	Li YS, Tian WD, Li SW , et al. Retrospective analysis of 3 958 patients with facial injuries[J]. Chin J Stomatol, 2006,41(7):385-387. doi: 10.3760/j.issn:1002-0098.2006.07.001 URL
[15]	Maliska MCDS, Lima Júnior SM, Gil JN . Analysis of 185 maxillofacial fractures in the state of Santa Catarina, Brazil[J]. Braz Oral Res, 2009,23(3):268-274. doi: 10.1590/S1806-83242009000300008 URL pmid: 19893961
[16]	陈晨, 杨尧, 巩玺 , 等. 口腔颌面部新鲜骨折1 009例回顾分析[J]. 中华口腔医学杂志, 2015,50(11):650-655. doi: 10.3760/cma.j.issn.1002-0098.2015.11.003 URL
	Chen C, Yang Y, Gong X , et al. A retrospective study of 1 009 patients with oral and maxillofacial fresh trauma[J]. Chin J Stomatol, 2015,50(11):650-655. doi: 10.3760/cma.j.issn.1002-0098.2015.11.003 URL
[17]	Choi SH, Gu JH, Kang DH . Analysis of traffic accident-related facial trauma[J]. J Craniofac Surg, 2016,27(7):1682-1685. doi: 10.1097/SCS.0000000000002916 URL pmid: 27438456
[18]	石照辉, 封兴华, 周树夏 , 等. 老年人颌面创伤的临床特点与治疗[J]. 中华老年医学杂志, 2004,23(8):540-542.
	Shi ZH, Feng XH, Zhou SX , et al. Clinical characteristic and treatment of maxillofacial trauma in the elderly[J]. Chin J Geriatr, 2004,23(8):540-542.
[19]	谭繁胜, 赵建江, 谭海波 , 等. 老年口腔颌面部损伤救治320例临床分析[J]. 中华老年口腔医学杂志, 2012,10(3):146-149. doi: 10.3969/j.issn.1672-2973.2012.03.005 URL
	Tan FS, Zhao JJ, Tan HB , et al. Clinical analysis of 320 cases of elderly oral and maxillofacial trauma care[J]. Chin J Geriatr Dent, 2012,10(3):146-149. doi: 10.3969/j.issn.1672-2973.2012.03.005 URL

年龄/岁	男		女		合计		男女比
年龄/岁	例数	百分比/%	例数	百分比/%	例数	百分比/%	男女比
60~69	126	63.64	26	13.13	152	76.77	4.85︰1
70~79	24	12.12	12	6.06	36	18.18	2︰1
≥80	8	4.04	2	1.01	10	5.05	4︰1
合计	158	79.80	40	20.20	198	100.00	3.95︰1

年龄/岁	创伤原因
年龄/岁	交通事故伤	摔伤	高坠伤	其他
60~69	58/29.29	37/18.69	29/14.65	28/14.14
70~79	16/8.08	9/4.55	3/1.52	8/4.04
≥80	4/2.02	3/1.52	1/0.51	2/1.01
合计	78/39.39	49/24.75	33/16.67	38/19.19

骨折部位	计数	百分比/%	骨折部位	计数	百分比/％
额骨	8	4.04	下颌骨
面中部			髁突	50	25.25
颧骨	86	43.43	下颌支	16	8.08
鼻筛眶	62	31.31	下颌角	10	5.05
上颌骨	52	26.26	下颌体	38	19.19
			颏部	24	12.12

198例老年颌面部骨折患者临床分析

Clinic analysis of 198 elder patients with maxillofacial fracture

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 3

参考文献 19

相关文章 10

编辑推荐

Metrics

本文评价

[1]	刘超峰, 许艳华, 易春艳, 刘彦. Andrews六要素用于正畸病例数字化资料的临床回顾性研究[J]. 华西口腔医学杂志, 2022, 40(2): 183-188.
[2]	陈益燕, Pradan Siras Prasad, 杨锦波. 302例显微根尖手术的回顾性研究[J]. 华西口腔医学杂志, 2021, 39(4): 458-463.
[3]	乔永明, 刘一鸣, 李锐, 龚建民, 何巍. 颞下颌关节脱位手术治疗的回顾性研究[J]. 华西口腔医学杂志, 2018, 36(3): 262-266.
[4]	刘琰, 曹鸣芯, 吴家顺, 高晓磊, 梁新华. 人乳头瘤病毒相关头颈肿瘤的中文文献研究现状分析[J]. 华西口腔医学杂志, 2017, 35(3): 301-310.
[5]	王强张竹张士岩陈世润. 老年口腔鳞状细胞癌患者术后手术区域感染的风险因素研究[J]. 华西口腔医学杂志, 2016, 34(2): 173-177.
[6]	徐国勇1 左明晏2. 多发性颌面部骨折术后急性肺栓塞死亡1例[J]. 华西口腔医学杂志, 2012, 30(6): 658-658.
[7]	刘济远1，2 袁蒙姜3 韩波2 唐休发2. 18例慢性舌下腺炎病例回顾性研究[J]. 华西口腔医学杂志, 2012, 30(4): 380-382.
[8]	郭小玲;魏奉才;孙善珍. 多原发恶性肿瘤合并口腔病变的临床研究[J]. 华西口腔医学杂志, 2006, 24(01): 42-44.
[9]	柏恒亮，孟加林. 老年患者围术期心电监测的临床意义[J]. , 1995, 13(04): 0-.
[10]	颜华. 颌面部骨折82例临床分析[J]. , 1995, 13(03): 0-.