口腔医学研究

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (6): 587-590.DOI: 10.13701/j.cnki.kqyxyj.2019.06.018

• 颞下颌关节与创伤学研究 • 上一篇    下一篇

伊犁地区446例颌面部创伤患者临床分析

帕孜来提·肖克来提,李伟东,庄芳璐,阿地力·莫明*   

  1. 新疆医科大学第一附属医院口腔颌面创伤正颌外科 新疆 乌鲁木齐 830054
  • 收稿日期:2018-11-08 出版日期:2019-06-28 发布日期:2019-06-27
  • 通讯作者: 阿地力·莫明,E-mail: adili928@hotmail.com
  • 作者简介:帕孜来提·肖克来提(1992~ ),女,硕士在读,主要从事颌面创伤研究工作。
  • 基金资助:
    国家自然科学基金(编号:81660190)

Clinical Analysis of 446 Oral and Maxillofacial Traumatic Cases in Yili Area

Pazilaiti·Xiaokelaiti, LI Wei-dong, ZHUANG Fang-lu, Adili·Moming*   

  1. Department of Maxillofacial Trauma and Orthognathic Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.
  • Received:2018-11-08 Online:2019-06-28 Published:2019-06-27

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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。

关键词: 颌面部骨折, 回顾性研究, 创伤, 流行病学

Abstract: 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.

Key words: Maxillofacial fracture, Retrospective study, Trauma, Epidemiology