鼻骨骨折合并鼻中隔骨折的临床特点及分类
Clinical characteristics and classification of nasal fracture combined with septal fractures
余庆雄 1李辰龙 1林奈尔 2何爱娟 1谢友舟 1叶信海 1张天宇 1傅窈窈1
作者信息
- 1. 复旦大学附属眼耳鼻喉科医院眼耳鼻整形外科 上海 200031
- 2. 复旦大学附属眼耳鼻喉科医院放射科 上海 200031
- 折叠
摘要
目的 总结鼻骨骨折中合并鼻中隔骨折的临床特点,并对鼻中隔骨折进行分型和疗效观察.方法 回顾分析 91 例在我科行鼻骨骨折手术复位患者的临床及CT影像学资料.根据是否伴鼻中隔骨折,将鼻骨骨折分为单纯鼻骨骨折组(A组)和鼻骨骨折合并鼻中隔骨折组(B组),比较 2 组患者的性别构成、年龄、鼻骨骨折分级差异,分析鼻中隔骨折的发生部位以及治疗效果.结果 91例鼻骨骨折患者中,36例伴鼻中隔骨折(39.6%),2组在性别构成上差异无统计学意义,但B组患者的年龄及骨折分级显著高于A组.61.1%(22/36)的鼻中隔骨折发生于鼻骨下骨性鼻中隔前端(Type Ⅰ),30.6%(11/36)发生于骨性鼻中隔前端和中段(Type Ⅱ),8.3%(3/36)贯穿骨性鼻中隔和软骨中隔(Type Ⅲ).鼻中隔骨折经闭合复位和术后填塞可获得良好对位愈合.结论 成年、严重的鼻骨骨折更易伴鼻中隔骨折,且好发于骨性鼻中隔前端,通过闭合复位可获得良好治疗效果.
Abstract
Objective To summarize the clinical characteristics of nasal fracture combined with septal fracture and to analyze the classification and the therapeutic effect of septal fracture.Methods The clinical data and CT images of 91 patients who had undergone surgical reduction of nasal fracture in our department were analyzed retrospectively.All patients were divided into the group of simple nasal fracture(Group A)and the group of nasal fracture combined with septal fracture(Group B),and the differences in gender composition,age,and grading of nasal fracture between the two groups were compared.The occurrence site and the curative effect of nasal septal fracture were analyzed statistically.Results Among the 91 patients with nasal fractures,36 had concomitant septal fractures(39.6%).There was no significant difference between Group A and Group B in terms of gender composition,while both the age of the patients and fracture grading were significantly higher in Group B than those in Group A.There was 61.1%(22/36)of the septal fractures which occurred in the anterior end of the infranasal bony septum(Type Ⅰ),30.6%(11/36)in the anterior and middle bony septum(Type Ⅱ),and 8.3%(3/36)through the bony septum and cartilaginous septum(Type Ⅲ).Patients with septal fractures all obtained satisfied outcomes with closed reduction and postoperative compression.Conclusions Adult and severe nasal fractures are more likely to be accompanied by septal fractures.The nasal septal fractures is more likely to occur at the anterior end of the bony septum,and good clinical results can be achieved by closed reduction.
关键词
鼻骨骨折/鼻中隔骨折/骨折分型/闭合复位/鼻中隔成形Key words
Nasal fracture/Septal fracture/Fracture classification/Closed reduction/Septoplasty引用本文复制引用
出版年
2024
NETL
NSTL
万方数据