| 张秀景,王永亮,王双义.以上颌窦形态改变为基础的颧骨颧弓复合体骨折新分类方法探讨[J].安徽医药,2020,24(3):544-547. |
| 以上颌窦形态改变为基础的颧骨颧弓复合体骨折新分类方法探讨 |
| A new classification method of zygomatic complex fracture based on maxillary sinus morphologic change |
| |
| DOI：10.3969/j.issn.1009?6469.2020.03.031 |
| 中文关键词: 颧骨骨折/分类 上颌窦 成像，三维 体层摄影术， X线计算机 |
| 英文关键词: Zygomatic fractures/classification Maxillary sinus Imaging,three?dimensional Tomography,X?ray computed |
| 基金项目: |
|
| 摘要点击次数: 1740 |
| 全文下载次数: 472 |
| 中文摘要: |
| 目的探讨以上颌窦形态改变为基础的颧骨颧弓复合体骨折新分类方法。方法对收集 2011年 5月至 2015年 12月期间在青岛大学附属医院黄岛院区口腔颌面外科住院治疗的 86例颧骨颧弓复合体骨折的临床资料和三维 CT中上颌窦形态改变进行研究，提出颧骨颧弓复合体骨折分类的新方法。根据颧骨颧弓复合体骨折中上颌窦形态改变情况将其分为 3类 7型，具体为: A类骨折为上颌窦形态无改变，其中， A1:骨折未波及上颌窦， A2:骨折波及窦壁但无移位； B类为上颌窦前壁和后外侧壁骨折并移位的病例，其中 B1:远中骨折片向后内移位； B2:远中骨折片向前内移位； B3:远中骨折片向前外移位， B4:远中骨折片向后外移位； C类骨折为上颌窦各壁均断裂，移位复杂的骨折。结果 A类骨折共 11侧，其中， A1:6侧， A2:5侧， B类共 77侧，其中 B1:18侧； B2:33侧； B3:16侧， B4:10侧； C类骨折 13侧。结论颧骨颧弓复合体骨折新分类是以上颌窦形态改变为基础的分类方法，对颧骨颧弓复合体骨折的临床诊断和手术治疗具有指导意义。 |
| 英文摘要: |
| Objective To explore a new classification method of zygomatic and zygomatic arch complex fractures based on maxil?lary sinus morphological changes.Methods The clinical data and morphological changes of maxillary sinus displayed in 3D CT in86 cases of zygomatic and zygomatic arch complex fractures treated in the Maxillofacial Surgery in Huangdao Hospital of QingdaoUniversity Hospital from May 2011 to December 2015 were collected.A new method for classification of zygomatic arch complexfractures was proposed.According to the morphological changes of the maxillary sinus in the ygomatic arch complex fractures，frac? tures were divided into 3 classes and 7 types.Specifically:Type A fractures had no changes in the maxillary sinus shape；A1:the fracture did not affect the maxillary sinus；A2:the fracture affect sinus wall without displacement；Type B was the case with fracture and displacement of the anterior and posterior lateral walls of the maxillary sinus，B1:the distal fracture was displaced inwardly； B2:the distal fracture was displaced internally；B3:distal and middle fractures were shifted forward and outward，B4:distal and mid? dle fractures were shifted backward and outward；Class C fractures were fractures of the maxillary sinus with fractures and complex displacements.Results There were 11 sides of A fractures，including 6 sides of A1 and 5 sides of A2，and 77 sides of B type， among which there were 18 sides of B1，33 sides of B2；16 sides of B3 and 10 sides of B4；Type C fractures 13 sides.Conclusion The new classification of zygomatic and zygomatic arch fractures is a classification method based on the changes of maxillary sinusmorphology，which has guiding significance for clinical diagnosis and surgical treatment of zygomatic zygomatic arch and fractures. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
