创伤性面部骨折的流行病学特征研究进展

亦韬 马(内蒙古医科大学研究生学院，中国)
武龙 金(内蒙古医科大学附属医院口腔科/内蒙古医科大学口腔医学院，中国)

摘要

目的：探讨世界范围内创伤性面部骨折流行病学特征，为创伤性面部骨折防治工作提供参考。方法：以“面部创伤”“面部骨折”“额骨骨折”“眼眶骨折”“颧骨骨折”“上颌骨骨折”“鼻骨骨折”、“下颌骨骨折”和“全面部骨折”为主题词，使用PubMed、Web of Science及中国知网、万方数据库等进行检索并筛选2018—2022年相关文献，以总结面部骨折流行病学特征。结果：近30年来全球面部骨折发病率呈增长趋势。年轻人、男性患病率较高。主要为道路交通事故、跌倒所致。下颌骨是最常见的骨折部位。颅脑损伤是最常见的伴发伤，儿童最常见的伴发伤是牙齿损伤。治疗方案的分布因骨折部位及年龄不同而异，坚固内固定最常见，对咬合关系改善效果最好，保守治疗主要见于儿童及老年人。结论：可针对高危人群、好发部位、主要致伤原因等开展有针对性的预防措施，并结合治疗方案的分布特征为治疗提供参考。

关键词

面部损伤；骨折；创伤；流行病学特征；治疗

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DOI: http://dx.doi.org/10.12345/yzlcyxzz.v6i2.12358