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编号:12130882
颧骨骨折78例临床回顾分析(1)
http://www.100md.com 2011年10月1日 张治忠,白雪峰,任江涛,高春莲,杨爱珍,任婵
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     [摘要]目的:分析78例颧骨骨折的流行病学特点及临床治疗方法。方法:收集我院2000年1月~2008年12月收治的资料完整的78例颧骨骨折住院患者,分析其外伤原因、临床表现、治疗方法及疗效。结果:骨折原因以摩托车肇事者为多,21~40岁年龄组发生率较高;78例骨折按KN分类法统计,Ⅰ型9例、Ⅱ型16例、Ⅲ型11例、Ⅳ型13例、Ⅴ型15例,Ⅵ型14例;9例Ⅰ型骨折保守治疗效果好,3例Ⅲ型骨折保守治疗,张口度3cm,留有颧部轻微低平畸形;66例行手术复位固定治疗,1例粉碎性骨折术后前牙轻度开牙合畸形,3例经口内切口入路术后6个月时因钛板外露取板,其余病例从面部形态、张口度及咬合关系等方面均取得满意疗效。结论:颧骨骨折以摩托车年轻肇事者为多,除Ⅰ型骨折外,保守治疗常遗留面部畸形及不同程度的张口受限,及时正确的手术治疗,可取得功能恢复和面部美观的双赢效果。

    [关键词]颧骨;外伤骨折;手术治疗;复位固定

    [中图分类号]R782 [文献标识码]A [文章编号]1008-6455(2011)10-1549-03

    Clinical retrospective analysis for 78 cases of zygomatic fractures

    ZHANG Zhi-zhong,BAI Xue-feng,REN Jiang-tao,GAO Chun-lian,YANG Ai-zhen,REN Chan

    (Department of Stomatology,Yulin Chinese Medicine Hospital and Northern Hospital,Yulin 719000,Shaanxi,China)

    Abstract:ObjectiveTo analyze the epidemiology and clinical treatments for 78 cases of zygomatic fractures.MethodsThe 78 cases of zygomatic fractures that treated at the department of Stomatology,Yulin Chinese Medicine Hospital and Northern Hospital in January 2000 to December 2008 were included.Analyze their reasons of trauma,clinical manifestations,treatments and efficacy.ResultsIn the reasons of fracture, motorcycle perpetrators was the most part.In this part,the group of 21~40 age was major.There is a statistic according to the classification of KN in the 78 cases of fractures, 9 cases of typeⅠ,16 cases of typeⅡ,11 cases of type Ⅲ,13 cases of type Ⅳ,15 cases of type Ⅴ,14 cases of type Ⅵ.After conservative treatment,9 cases of typeⅠgot good efficacy,3 cases' mouth opening of type Ⅲ were 3cm,but zygomatic minor low-lying deformed.Treatment of 66 cases with surgical reduction and fixation,1 case of frachure mild deformity of anterior opening bite,3 cases with surgery byintraoral incision taking the titanium plates due to the exposed 6 months after,the remaining cases from facial morphology,mouth degrees and other aspects of occlusion had satisfactory results.ConclusionThe reasons of zygomatic fracture were the young perpetrators of motorcycles at most ......

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