汶川地震致颌面部伤员面部功能障碍的情况分析
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摘要
目的回顾性分析四川汶川地震中口腔颌面部伤员的面部功能损伤情况,从而为地震中颌面部创伤医学以及救治规范的完善提供依据和参考。方法回顾性调查分析四川汶川地震中419名口腔颌面伤员的面部功能损伤特点,采用四川大学自主研发设计的颌面部创伤伤员数据库对调查结果进行统计分析。结果在接受调查的419名颌面部伤员中,出现了不同类型的功能障碍。包括神经损伤症状、咬合错乱、张口受限、复视,其中以张口受限的伤员人数最多。结论地震导致的颌面部伤所引起的功能障碍的种类和比例与受伤类型有密切关系。
Objective To analyze retrospectively maxillofacial injuries with emphasis on facial function after the Wenchuan earthquake in Sichuan province,so as to provide reference on patients' treatment after earthquake.Methods All the 419 patients with maxillofacial injuries after the earthquake were investigated concerning facial function and a database was used to analyze the results.Results A wide variety of functional disturbances was seen among all the 419 patients,such as nerve injury,occlusal disturbance,limitation of mouth opening,diplopia.Limitation of mouth opening was the most vulnerable.Conclusion Functional disturbances resulting from maxillofacial injuries caused by earthquake did not have obvious differentiation from others,and the ratio varies with the kind injuries.
Objective To analyze retrospectively maxillofacial injuries with emphasis on facial function after the Wenchuan earthquake in Sichuan province,so as to provide reference on patients' treatment after earthquake.Methods All the 419 patients with maxillofacial injuries after the earthquake were investigated concerning facial function and a database was used to analyze the results.Results A wide variety of functional disturbances was seen among all the 419 patients,such as nerve injury,occlusal disturbance,limitation of mouth opening,diplopia.Limitation of mouth opening was the most vulnerable.Conclusion Functional disturbances resulting from maxillofacial injuries caused by earthquake did not have obvious differentiation from others,and the ratio varies with the kind injuries.
引文
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[2]Boyd CR,Tolson MA,Copes WS.Evaluating trauma care:The TRISS method.Trauma Score and the Injury Seve-rity Score[J].J Trauma,1987,27(4):370-378.
[3]Sastry SM,Sastry CM,Paul BK,et al.Leading causesof facial trauma in the major trauma outcome study[J].Plast Reconstr Surg,1995,95(1):196-197.
[4]Plaisier BR,Punjabi AP,Super DM,et al.The relation-ship between facial fractures and death from neurologicinjury[J].J Oral Maxillofac Surg,2000,58(7):708-713.
[5]Bynoe RP,Kerwin AJ,Parker HH 3rd,et al.Maxillofa-cial injuries and life-threatening hemorrhage:Treatmentwith transcatheter arterial embolization[J].J Trauma,2003,55(1):74-79.
[6]Redmond AD.Natural disasters[J].BMJ,2005,330(7502):1259-1261.
[7]Worthington P,Champy M.Monocortical miniplate osteo-synthesis[J].Otolaryngol Clin North Am,1987,20(3):607-620.
[8]Benoliel R,Birenboim R,Regev E,et al.Neurosensorychanges in the infraorbital nerve following zygomatic fra-ctures[J].Oral Surg Oral Med Oral Pathol Oral RadiolEndod,2005,99(6):657-665.
[9]宋维铭,孙广慈,冯越蹇,等.外伤性面瘫的早期手术治疗[J].中华医学美学美容杂志,2001,7(5):244-247.
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