摘要
目的：对121腔颌面部骨折患者进行临床流行病学总结分析。方法：对武汉大学口腔医学院口腔颌面外科2000--2009年收治的1131例口腔颌面部骨折患者的病历资料进行统计和分析．采用SPSS16．0软件包对骨折原因进行多因素风险分析。结果：口腔颌面部骨折患者男女比例为3．52：1．19～29岁组为好发年龄段（30．7％）：无业患者人数最多（21．4％），交通事故伤占52．6％。口腔颌面部骨折患者中．869例发生下颌骨骨折（76．8％），452例发生面中份骨折（40．0％）。伴发伤以眼损伤最为多见（18．5％），其次是四肢骨折（9．2％）。Logistic多因素回归分析表明，高处跌落导致下颌骨骨折的相对危险度最高（OR=3．119，P=O．009），低龄患者更容易发生下颌骨骨折（OR=1．021，P〈O．001）；机动车事故伤（OR=2．896，P〈O．001）是面中份骨折的高危因素．而男性较女性易发面中份骨折（OR：1．431．P=O．025），患者年龄越大，发生面中份骨折的风险增加（OR=0．980，P〈O．001）。结论：15I腔颌面部骨折发生与患者年龄、性别以及发病原因有关。
PURPOSE： To analyze the epidemiological characteristics of patients with oral and maxillofacial fractures by retrospective study. METHODS： From 2000 to 2009, the medical records of 1131 patients with oral and maxillofacial fractures admitted to Hospital of Stomatology, Wuhan University were statistically evaluated and analyzed. Chi-square test and Student＇s t test were used when necessary with SPSS16.0 software package. Logistic regression analysis was used to control confounding variables. RESULTS： The male to female ratio was 3.52：1, 19-29-year-old group accounted for the most （30.7%）, 21.4% of them were of unemployed. 52.6% of the patients were injured by traffic accidents. Among 1131 patients, 869 （76.8%） sustained mandibular fractures, 452 patients （40.0%） had mid-facial fractures. Injury to the eyes was the commonest associated injury （10.4%）, followed by limb fractures （9.2%）. Multivariate Logistic regression analysis showed that drops possessed the highest relative risk for mandibular fractures （OR=3.119, P=0.009）, younger patients were more likely to sustain mandibular fractures （OR=l.021, P〈0.001）. Motor vehicle accidents （0R=2.896, P〈0.001） possessed the highest relative risk for mid-facial fracture. Men were more prone to mid-facial fractures than women （0R=1.431, P= 0.025）. The older the patients＇ age, the more likely the occurrence of mid-facial fractures （OR =0.980,P〈0.001）. CONCLUSION： Oral and maxillofaeial fractures were highly related to the patient＇s age, gender, and etiologies.
出处
《中国口腔颌面外科杂志》
CAS
2013年第5期424-428,共5页
China Journal of Oral and Maxillofacial Surgery
关键词
口腔颌面部
骨折
回顾性研究
Oral and maxillofacial region
Fractures
Retrospective study
作者简介
周海华（1981-），男，博士，住院医师＋E—mail：huazizhou8@163．com;通信作者:李祖兵，Tel：027—87686217，E—mail：lizubing@sina．com
