本文選題：頜面部骨折 + 顴骨顴弓骨折　； 參考：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：探討顴骨顴弓骨折的流行病學(xué)特點(diǎn)和治療方式。方法：對新疆醫(yī)科大學(xué)第一附屬醫(yī)院2002年01月至2012年01月342例在頜面外科住院的顴骨顴弓骨折患者進(jìn)行回顧性分析,主要通過對其年齡、性別、季節(jié)、居住地、損傷原因、治療時機(jī)的選擇、就診方式、外院處理情況、骨折部位、骨折類型分布、切口部位選擇、固定方式等進(jìn)行綜合分析探討研究。結(jié)果：432例患者中男：女=5.45：1,年齡段為7歲至77歲不等,平均年齡為34.79歲,高發(fā)年齡段為31至40歲；全年各個月份均有發(fā)病,夏季發(fā)病率稍多于其他月份,其中8月份最高；城市居民稍多于農(nóng)村居民,城市：農(nóng)村=1.33：1；損傷原因中交通事故比例超過一半,約占60.53%：就診方式以轉(zhuǎn)診為主,占82.16%,其中首診醫(yī)院以清創(chuàng)包扎和不處理就轉(zhuǎn)診者占前兩位,分別為38.79%和36.65%；治療時機(jī)以院后2天至1周為主,占總?cè)藬?shù)的45.61%；骨折以左側(cè)為主,占53.80%；以B型骨折最多見,占54.69%；我院手術(shù)治療占93.27%；切口選擇類以冠狀切口(半冠狀切口)和上頜前庭溝切口,分別為35.08%和33.56%；固定方式以三點(diǎn)固定為主,占29.47%。結(jié)論：顴骨顴弓骨折主要是青壯年城市男性；交通事故為首要的損傷原因,夏季好發(fā)；首診醫(yī)院大多數(shù)處理方式是清創(chuàng)包扎；手術(shù)時機(jī)多數(shù)在一周之內(nèi)進(jìn)行；以冠狀切口和上頜前庭溝切口占首位；以顴牙槽脊、眶下緣和顴額縫為主的三點(diǎn)固定為主。
[Abstract]:Objective: to investigate the epidemiological characteristics and treatment of zygomatic arch fracture. Methods: 342 cases of zygomatic fracture in maxillofacial surgery from January 2002 to January 2012 in the first affiliated Hospital of Xinjiang Medical University were analyzed retrospectively. The choice of treatment opportunity, treatment mode, treatment condition, fracture site, fracture type distribution, incision site selection, fixation method and so on were comprehensively analyzed and studied. Results among 432 patients, male was 5.45: 1, age ranged from 7 to 77 years old, average age was 34.79 years old, the high incidence age was 31 to 40 years old, the incidence rate in summer was slightly higher than that in other months, among which August was the highest. Urban residents were slightly more than rural residents, urban: rural areas 1.33: 1; traffic accidents accounted for more than half of the injury causes, accounting for about 60.53. Referral was the main method of treatment, accounting for 82.16.The first consultation hospitals accounted for the first two in terms of debridement, bandaging and untreated referrals. 38.79% and 36.65%, respectively, the time of treatment was mainly from 2 days to 1 week after the hospital, accounting for 45.61% of the total number of patients, the fracture was mainly on the left side, accounting for 53.80%, and type B fracture was the most common. The choice of incision was coronal incision (semi-coronal incision) and maxillary vestibular sulcus incision, which were 35.08% and 33.56%, respectively. Conclusion: the fracture of zygomatic arch is mainly young and middle-aged urban male, traffic accident is the primary cause of injury, it is easy to happen in summer, most of the treatment methods in the first visit hospital are debridement and bandage, most of the time of operation is within one week. The coronal incision and maxillary vestibular sulcus incision were the first, and the three point fixation of zygomatic alveolar ridge, inferior orbital margin and zygomatic-frontal suture were the main fixation.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R782.4

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本文編號：1935918