尼日利亚三级医院的颧骨复合体骨折:介绍和护理模式的更新

O. Obimakinde, OA Olajuyin, A. Akinbade, K. Ojo, CO Ibidun, OT Ogunsakin
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摘要

目的:颧复合体[ZMC]是面部骨骼中最常见的骨折骨之一,在文献中被严重低估。本研究旨在评估我们医院的骨折类型、症状学和治疗方式。材料和方法:患者的社会人口统计信息、骨折类型、症状学、放射学诊断和治疗方式从我们创伤登记处的患者记录中获取。收集的数据用SPSS 20进行分析,显著性水平设为p < 0.05。结果:研究期间共发生ZMC骨折105例,年龄19 ~ 66岁。骨折以男性为主[M: F = 3.8:1],道路交通事故(RTC)占骨折的绝大部分[79.0%]。各年龄组RTC与骨折的关系有统计学意义[X2 = 33.61, df = 5, p = 0.001]。颧骨-额缝骨折(ZF)和颧-腋缝合并骨折(ZM)是影像学上最常见的表现[分别为39.1%和28.6%]。结膜下淤斑和眶周淤斑(分别为92.4%和91.4%)是最常见的症状。84例(80%)患者通过手术治疗,最常用的手术方式是通过ZF [n = 33, 39.3%]或ZM [n = 21, 25.0%]缝合线固定微型钢板[1.0mm]。结论:本研究显示RTC仍是ZMC骨折的主要病因,而微型钢板植骨术是手术治疗的主要方法。道路使用者必须执行有关速度和采取保护措施的道路安全规定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Zygomatic complex fractures in a Nigerian tertiary hospital: An update on the pattern of presentation and care
Aim: The Zygomatic complex [ZMC], being one of the most commonly fractured bones in the facial skeleton, is largely underreported in the literature. This study was designed to evaluate the pattern of fractures, symptomatology, and treatment modalities at our institution. Materials and methods: Information on patients’ sociodemographics, the pattern of fractures, symptomatology, radiologic diagnosis, and treatment modalities were accessed from patients’ records on our trauma register. Data collected was analyzed with SPSS 20 and the level of significance was set at p < 0.05. Results: A total of 105 patients aged 19-66 years had ZMC fractures during the study period. A male preponderance was observed [M: F = 3.8:1] and road traffic crashes [RTC] accounted for the majority of fractures [79.0%]. There was a statistically significant relationship between RTC and fractures among the age groups [X2 = 33.61, df = 5, p = 0.001]. Fractures at the zygomatico-frontal [ZF] and in combination with zygomaticomaxillary [ZM] sutures were the commonest finding on imaging [39.1% % 28.6% respectively]. Subconjunctival and circumorbital ecchymosis [92.4% and 91.4% respectively] were the commonest symptomatology. Eighty four patients (80 %) were managed via surgical intervention and the most commonly employed surgical modality was mini plates [1.0mm] fixation across either ZF [n = 33, 39.3%] or ZM [n = 21, 25.0%] suture lines. Conclusion: This study revealed that RTC remains a major aetiology of ZMC fractures and mini plate ostheosynthesis was the mainstay of surgical management. Enforcement of road safety regulations on speed and the use of protective measures by road users is imperative.
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