伊犁地区446例颌面部创伤患者临床分析
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摘要
目的:总结分析伊犁地区颌面部创伤患者的临床资料,探讨该地区临床流行病学特点和防治方法。方法:收集2012年1月～2016年12月在伊犁地区口腔颌面外科住院治疗的颌面部创伤患者的临床资料进行统计分析。结果:446例患者中男女比例为3.6∶1.0,20～40岁(53.36%)为发病高峰期。职业为农民(53.8%)的患者人数最多。致伤时间高峰期在8～10月(35.4%)。创伤病因以交通伤居首位(44.2%),其次是高处坠落伤(21%)和暴力致伤(21%)。Logistic回归分析可见生活意外伤致面中份骨折相较于交通伤相对危险度较高(OR=0.354,P<0.05),患者年龄越高则致面中份骨折相对危险度增高1.025倍。高处坠落伤相较于交通伤致下颌骨骨折相对危险度较高(OR=0.024,P<0.05)。结论:伊犁地区口腔颌面部创伤患者以中青年人为多,交通伤为主要致伤原因,其次是高处坠落伤及暴力致伤,合并损伤中颅脑损伤最常见,在此地区年龄和创伤病因为高风险危险因素可能性高。
Objective: To analysis the patients' clinical databases with maxillofacial trauma in Yili area of Xinjiang automatic region, and to explore the epidemiological characteristics of trauma and preventive methods. Methods: The clinical data of patients with maxillofacial trauma hospitalized in the department of oral and maxillofacial surgery from January 2012 to December 2016 in Yili region were collected and analyzed. Results: Among 446 patients, the ratio of male to female was 3.6∶1.0, and ages from 20 to 40 years old(53.36%) was the peak incidence. As to the classification of career, farmer(53.8%) was the highest percentage group. The peak period of the injury period was from August to October(35.4%). Traffic injury(44.2%) was the most common cause of trauma, followed by falls from high places(21%) and violence(21%). Logistic regression analysis showed that the relative risk of facial fractures was higher than that of traffic injuries(OR=0.354, P<0.05). The higher the age, the relative risk of facial fractures increased 1.025 times. The relative risk of mandibular fractures was higher than that of traffic injuries(OR=0.024, P<0.05). Traffic injury was risk factor for mid-face fractures and mandibular fractures. Conclusion: Young and middle-aged people are the most common patients with oral and maxillofacial trauma in Yili area. Traffic injury is the main cause of injury, followed by fall injury and violence. The injury of craniocerebral is the most common in combined injuries. Age and trauma causing may be high risk factors in this area.
Objective: To analysis the patients' clinical databases with maxillofacial trauma in Yili area of Xinjiang automatic region, and to explore the epidemiological characteristics of trauma and preventive methods. Methods: The clinical data of patients with maxillofacial trauma hospitalized in the department of oral and maxillofacial surgery from January 2012 to December 2016 in Yili region were collected and analyzed. Results: Among 446 patients, the ratio of male to female was 3.6∶1.0, and ages from 20 to 40 years old(53.36%) was the peak incidence. As to the classification of career, farmer(53.8%) was the highest percentage group. The peak period of the injury period was from August to October(35.4%). Traffic injury(44.2%) was the most common cause of trauma, followed by falls from high places(21%) and violence(21%). Logistic regression analysis showed that the relative risk of facial fractures was higher than that of traffic injuries(OR=0.354, P<0.05). The higher the age, the relative risk of facial fractures increased 1.025 times. The relative risk of mandibular fractures was higher than that of traffic injuries(OR=0.024, P<0.05). Traffic injury was risk factor for mid-face fractures and mandibular fractures. Conclusion: Young and middle-aged people are the most common patients with oral and maxillofacial trauma in Yili area. Traffic injury is the main cause of injury, followed by fall injury and violence. The injury of craniocerebral is the most common in combined injuries. Age and trauma causing may be high risk factors in this area.
引文
[1] 何伟.颌面部创伤356例的临床分析[J].口腔颌面外科杂志,2013,23(5):387-389.
[2] 陈晨,杨尧,巩玺,等.口腔颌面部新鲜骨折1009例回顾分析[J].中华口腔医学杂志,2015,50(11):650-655.
[3] 王科,彭国光,谭玉莲,等.3050例颌面部损伤临床分析[J].口腔疾病防治,2016,24(12):715-719.
[4] Schneider D,K?mmerer PW,Sch?n G,et al.Etiology and injury patterns of maxillofacial fractures from the years 2010 to 2013 in Mecklenburg-Western Pomerania,Germany:A retrospective study of 409 patiens [J].J Craniomaxillofac Surg,2015,43(10):1948-1951.
[5] Majid Rezaei,Saba Jamshidi,Tanaz Jalilian,et al.Epidemiology of maxillofacial trauma in a university hospital of Kermanshah [J].Journal of Oral and Maxillofacial Surgery,Medicine,and Pathology,2017,29(2):110-115.
[6] Bonavolontà P,Dell'aversana Orabona G,Abbate V,et al.The epidemiological analysis of maxillofacial fractures in Italy:The experience of a single tertiary center with 1720 patients [J].J Craniomaxillofac Surg,2017,45(8):1319-1326.
[7] Fama F,Cicciu M,Sindoni A,et al.Maxillofacial and concomitant serious injuries:An eight -year single center experience [J].Chin J Traumatol,2017,20(1):4-8.
[8] Lee JH,Cho BK.A 4-year retrospective study of facial fractures on Jeju Korea [J].J Craniomaxillofac Surg,2010,38(3):192-196.
[9] 史可梅,刘世杰,高东旺,等.西宁地区颌面创伤患者的流行病学分析[J].青海医药杂志,2015,45(6):75-77.
[10] 王璐,斯琴,赵诚.呼和浩特地区颌面部骨折的临床流行病学研究[J].现代口腔医学杂志,2010,24(2):142-145.
[11] Almasri M.Severity and causality of maxillofacial trauma in the Southern region of Saudi Arabia [J].Saudi Dent,2013,25:107-110.
[12] Rallis G,Stathopoulos P,Igoumenakis D,et al.Treating maxillofacial trauma for over half a century:how can we interpret the changing patterns in etiology and management [J].Oral Surg Oral Med OralPathol Oral Radiol,2015,119(6):614-618.
[13] 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].Craniomaxillofac Surg,2014,42(5):583-587.
[14] 张志愿.口腔颌面外科学[M].第7版.北京:人民卫生出版社,2012:222-233.
[15] 潘彦杰.项立新.李立峰.326例颌面部创伤的回顾性分析[J].浙江创伤科,2011,16(3):349-350.
[16] 鄢兰元,郑维银,张建设,等.口腔颌面部外伤536例临床分析[J].西南军医,2013,15(2):149-150.
[17] 刘喜文,何黎升,尹文,等.1254例口腔颌面部创伤伤员临床特点分析[J].护理研究,2011,25(4):970-973.
[18] 周海华,刘琦,杨荣涛,等.1131例口腔颌面部骨折临床分析[J].中国口腔颌面外科杂志,2013,11(5):424-428.
[2] 陈晨,杨尧,巩玺,等.口腔颌面部新鲜骨折1009例回顾分析[J].中华口腔医学杂志,2015,50(11):650-655.
[3] 王科,彭国光,谭玉莲,等.3050例颌面部损伤临床分析[J].口腔疾病防治,2016,24(12):715-719.
[4] Schneider D,K?mmerer PW,Sch?n G,et al.Etiology and injury patterns of maxillofacial fractures from the years 2010 to 2013 in Mecklenburg-Western Pomerania,Germany:A retrospective study of 409 patiens [J].J Craniomaxillofac Surg,2015,43(10):1948-1951.
[5] Majid Rezaei,Saba Jamshidi,Tanaz Jalilian,et al.Epidemiology of maxillofacial trauma in a university hospital of Kermanshah [J].Journal of Oral and Maxillofacial Surgery,Medicine,and Pathology,2017,29(2):110-115.
[6] Bonavolontà P,Dell'aversana Orabona G,Abbate V,et al.The epidemiological analysis of maxillofacial fractures in Italy:The experience of a single tertiary center with 1720 patients [J].J Craniomaxillofac Surg,2017,45(8):1319-1326.
[7] Fama F,Cicciu M,Sindoni A,et al.Maxillofacial and concomitant serious injuries:An eight -year single center experience [J].Chin J Traumatol,2017,20(1):4-8.
[8] Lee JH,Cho BK.A 4-year retrospective study of facial fractures on Jeju Korea [J].J Craniomaxillofac Surg,2010,38(3):192-196.
[9] 史可梅,刘世杰,高东旺,等.西宁地区颌面创伤患者的流行病学分析[J].青海医药杂志,2015,45(6):75-77.
[10] 王璐,斯琴,赵诚.呼和浩特地区颌面部骨折的临床流行病学研究[J].现代口腔医学杂志,2010,24(2):142-145.
[11] Almasri M.Severity and causality of maxillofacial trauma in the Southern region of Saudi Arabia [J].Saudi Dent,2013,25:107-110.
[12] Rallis G,Stathopoulos P,Igoumenakis D,et al.Treating maxillofacial trauma for over half a century:how can we interpret the changing patterns in etiology and management [J].Oral Surg Oral Med OralPathol Oral Radiol,2015,119(6):614-618.
[13] 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].Craniomaxillofac Surg,2014,42(5):583-587.
[14] 张志愿.口腔颌面外科学[M].第7版.北京:人民卫生出版社,2012:222-233.
[15] 潘彦杰.项立新.李立峰.326例颌面部创伤的回顾性分析[J].浙江创伤科,2011,16(3):349-350.
[16] 鄢兰元,郑维银,张建设,等.口腔颌面部外伤536例临床分析[J].西南军医,2013,15(2):149-150.
[17] 刘喜文,何黎升,尹文,等.1254例口腔颌面部创伤伤员临床特点分析[J].护理研究,2011,25(4):970-973.
[18] 周海华,刘琦,杨荣涛,等.1131例口腔颌面部骨折临床分析[J].中国口腔颌面外科杂志,2013,11(5):424-428.