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。
Objective To explore a new classification method of zygomatic and zygomatic arch complex fractures based on maxillary sinus morphological changes.Methods The clinical data and morphological changes of maxillary sinus displayed in 3D CT in 86 cases of zygomatic and zygomatic arch complex fractures treated in the Maxillofacial Surgery in Huangdao Hospital of Qingdao University Hospital from May 2011 to December 2015 were collected.A new method for classification of zygomatic arch complex fractures was proposed.According to the morphological changes of the maxillary sinus in the ygomatic arch complex fractures,fractures 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 middle 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 sinus morphology,which has guiding significance for clinical diagnosis and surgical treatment of zygomatic zygomatic arch and fractures.
作者
张秀景
王永亮
王双义
ZHANG Xiujing;WANG Yongliang;WANG Shuangyi(Department of Stomatology,Department of Medical Rehabilitation,Heze Institute of Home Economics,Heze,Shandong 274300,China;Department of Oral and Maxillofacial Surgery,Key Lab of Oral Clinical Medicine,The Affiliated Hospital of Qingdao University,College of Stomatology,Qingdao University,Qingdao,Shandong 266555,China)
出处
《安徽医药》
CAS
2020年第3期544-547,共4页
Anhui Medical and Pharmaceutical Journal
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
Zygomatic fractures/classification
Maxillary sinus
Imaging
three⁃dimensional
Tomography,X⁃ray computed
