202例鼻骨骨折临床分析

钟振华; 范西惠; 练状; 程泽星; 庄远岭

doi:10.13201/j.issn.1001-1781.2014.23.007

202例鼻骨骨折临床分析

- 扬州市第一人民医院耳鼻咽喉-头颈外科(江苏扬州, 225001)

详细信息

通讯作者: 钟振华,E-mail:zhonghua0199@126.com

中图分类号: R322.31

收稿日期: 2014-03-21

Clinal analysis of 202 nasal bone fractures cases

- Department of Otolaryngology-Head and Neck Surgery, Yangzhou No.;

More Information

Corresponding author: ZHONG Zhenhua, E-mail: zhonghua0199@126.com

Received Date: 21 March 2014

摘要

摘要: 目的:探讨鼻骨骨折患者的性别、年龄、病因、诊断及治疗时机。方法:回顾性分析202例鼻骨骨折患者的临床资料。结果:202例患者中,男163例(80.7%),女39例(19.3%);52例患者受伤与饮酒有关,且均为男性。致伤原因:斗殴94例(46.5%),摔伤43例(21.3%),交通事故39例(19.3%),工作意外伤害13例(6.5%),运动伤害12例(5.9%),其他伤害1例(0.5%)。季节分布:春季54例(26.7%),夏季42例(20.8%),秋季58例(28.7%),冬季48例(23.8%)。应用鼻骨X线检查诊断鼻骨骨折的阳性率为79.7%,而CT检查诊断的阳性率为100%。结论:斗殴是鼻骨骨折发生的主要原因,男性占绝大多数,高发年龄20~29岁。CT检查在鼻骨骨折中的诊断有重要意义。
- 骨折 /
- 鼻骨
Abstract: Objective:To evaluate the age, sex, etiology, diagnosis and treatment time of nasal bone fractures.Method:Clinical data of 202 cases with nasal bone fractures treated in the hospital were retrospectively analysed.Result:A total of 202 cases,163 men (80.7%) and 39 women (19.3%). Fifty-two patients had a relationship with alcohol consumption, and all of them were males. The most frequent reasons of the injury were fight 46.5% (94 cases) followed by falling-down 21.3% (43 cases), traffic accidents 19.3% (39 cases), works related 6.5% (13 cases), sport injuries 5.9% (12 cases) and others 0.5% (1 cases). Patients distribution in seasons were:spring 54 cases (26.7%), summer 42 cases (20.8%), autumn 58 cases (28.7%), winter 48 cases (23.8%). Diagnosis of nasal bone fractures were made positively by x-ray films in 79.7% of cases, but 100% by CT. Positive predictive value of CT was superior to that of X-ray films in the diagnosis of nasal bone fracture.Conclusion:High morbidity of nasal bone fracture was seen in the age group of 20-29 years, and predominantly in male. Fight was found to be the main etiologic factor. We think that CT is necessary for diagnosing nasal bone fracture.
- fracture /
- nasal bone

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