颧骨骨折治疗的临床研究。

Taehan Ch'ikkwa Uisa Hyophoe chi Pub Date : 1990-06-01
I W Nam
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引用次数: 0

摘要

笔者对969例颌面部骨折患者中106例颧骨骨折患者,按性别、年龄、骨折类型、主要表现及治疗方法,从骨折发生频率等方面对颧骨骨折的治疗进行临床研究。实验结果如下:1.实验结果表明:男性颧骨骨折发生率是女性的4倍。2. 颧骨骨折发病年龄以21 ~ 30岁为主,依次为11 ~ 20岁、31 ~ 40岁、0 ~ 10岁、41 ~ 50岁、51 ~ 60岁、61 ~ 70岁、71岁以上。3.在颌面部骨折中,下颌骨折发生率最高,为76.3%,其次是上颌骨(10.8%)、磨牙骨(9.7%)和鼻骨(3.3%)。4. 在106例颧骨折中,颧骨骨折仅占48.1%,其余均由颌面骨折完成。5. 根据Knight和North对磨牙骨骨折的分类,3组骨折发生率最高,其次为2、1、4和6组。6. 主要表现依次为上颊扁平、下睑下垂、结膜下淤斑、鼻出血、开口困难、开口疼痛等。7. 93.4%的颧骨骨折采用手术治疗,其余骨折采用保守治疗,颧-上颌骨折采用弹性钉丝固定有效。
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[Clinical studies on treatment of fractures of the zygomatic bone].

The author has made clinical studies on treatment of fractures of the zygomatic bone in terms of frequency of fractures according to sex, age, fracture type, main manifestations and treatment methods from 106 patients with zygomatic bone fractures among 969 patients with maxillofacial bone fractures. The results obtained were as follow: 1. The frequency of malar bone fracture was 4 times more in male than that in female. 2. The most prevalent age of malar bone fracture was 21-30 years of age, and the nexts were followed 11-20, 31-40, 0-10, 41-50, 51-60, 61-70, and over 71 in the orders. 3. Among maxillofacial bone fractures, mandibular fracture was most prevalent as 76.3%, and the nexts were followed by the maxilla (10.8%), the molar bone (9.7%) and the nasal bone (3.3%). 4. Among 106 fractures of the malar bone, zygomatic bone fracture only was occupied 48.1%, but the rests were accomplished by another maxillofacial bone fractures. 5. In classification of molar bone fractures according to Knight and North's, group 3 fractures were most prevalent, and followed by group 2, 1, 4 and 6 in the orders. 6. Main manifestations were upper cheek flattening, lower eyelid ptosis, subconjunctival ecchymosis, epistaxis, difficulty of mouth opening, pain during mouth opening and others in the orders. 7. 93.4% of malar bone fracture has been treated surgically, but the rests treated conservatively, and [symbol: see text] shaped elastic stapler wire has been effectively used to get fixation at zygomatico-maxillary fractures.

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