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报告320例颌骨骨折,其中交通事故伤120例,占37.5%;摔跌伤78例,占24.37%。尤以下颌骨骨折居多,为227例,占70.93%,其中颏部及体部伤占62.28%。上颌骨中Ⅱ型骨折46例,占63.01%;双发性骨折36例,占49.31%。并发全身伤者139例,占43.43%。作者认为应树立“四原则一标志”的治疗观念,即:局部与整体关系的原则;动、静结合的原则;中西医结合的原则,处理好软组织、珍惜骨组织的原则。其标志是复位固定达到伤前正常咬合状态。指出骨折片的移位和治疗关系密切,并结合实践经验进行了探讨。
A total of 320 cases of jaw fractures were reported, including 120 cases of traffic accidents, accounting for 37.5%; 78 cases of falling injuries, accounting for 24.37%. In particular, the majority of mandibular fractures, 227 cases, accounting for 70.93%, of which chin and body injuries accounted for 62.28%. 46 cases of type Ⅱ fracture in the maxilla, accounting for 63.01%; 36 cases of double fracture, accounting for 49.31%. 139 cases of systemic injuries, accounting for 43.43%. The author believes that the concept of “four principles and one sign” should be established, that is, the principle of partial and overall relationship, the principle of combination of moving and static, the principle of integrated traditional Chinese and western medicine, the principle of handling soft tissue and cherishing bone tissue. The sign is reset to reach the pre-injury normal occlusion state. It is pointed out that the displacement of the fracture plate is closely related to the treatment, and the practical experience is discussed.