하악골 골절에 관한 10년간의 추적조사 연구
10 YEAR RETROSPECTIVE STUDY ON MANDIBLE FRACTURES
최현준, 윤정현,
소속 상세정보
최현준 ( ) - 중앙대학교
윤정현 ( ) - 중앙대학교 의과대학 치과학교실
KMID : 0355619990250010032
Abstract
결론
저자는 1987년 1월부터 1996년 12월까지의 10년간 중앙대학교 부속 용산병원에 내원하여
하악골 골절로 진단된 환자 중 치과에서 입원치료를 받고 의무기록이 충실하여 추적조사가
가능한 245증례를 대상으로 임상적 연구를 시행하여 다음과 같은 결론을 얻었다.
1. 연도별로는 1990년까지는 증가하다가 이후로는 감소하는 추세를 보였고 남녀 비는 6 :
1로 남자에 호발하였다.
2. 원인별로는 교통사고(30.2%), 구타 및 폭력(28.6%), 추락 및 실족(25.3%), 산재(7.0%),
스포츠(6.9%)의 순으로 호발하였으나 최근 들어 교통사고로 인한 골절의 감소 및 스포츠로
인한 골절의 증가가 특징적이었다.
5. 연령별로는 20대(44.9%), 10대(26.9%), 30대(13.9%)의 순이었고, 10대 이하는 교통사고,
추락 및 실족에 의한 골절만이 나타났고 스포츠에 의한 골절은 10대, 20대에 집중되어 있었
다.
4. 부위별로는 정중부(36)%), 좌측우각부(16.4%), 우측과두부(10.4%), 우측우각부(8.6%),
좌측과두부(8.6%), 좌측골체부(5.8%), 우측골체부(5.6%), 좌측상행지(4.0%), 우측상행지
(3.8%)의 순서였고 평균 1.62부위에서 골절이 일어났고 191개의 골절선을 보였다.
5. 단순골절이 43.7%, 복잡골절이 56.3%이였고, 개방성 골절이 35.5%, 비개방성 골절이
64.5%였다.
6 전체적인 골절처치는 비관혈적 정복술이 25.7% 관혈적 정복술이 74.3%이였고, 하악과
두부위는 비관혈적 정복술이 68.0%, 관혈적 정복술이 32.0%이였다.
7 수상 후 관혈적 정복술의 시행까지는 평균 3.27일이 소요되었고, 평균재원기간은 10.07
일 이었다.
8, 하악우각부골절의 60.6%에서 제3대구치가 존재하였다.
#초록#
This report was a 10year retrospective study on mandible fractures.
The study was based on a series of 245 patients who had been treated for mandibular
fractures as in-patient at Yongsan Hospital of Medical college of Chung-Ang University
during the period of Jan. 1987 to Dec. 1996.
The results obtained are as follows;
1. In respect of incidence, the number of fractures was increased to 1990 and then it
was decreased. The ratio of Men to Women was 6 : 1.
2. The major etiologic factors were traffic accident(30.2%), fisticuffs(28.6%),
falldown(25.3%), accident related to work(7.8%), and sports(6.9%). In recent years, the
decreasement of fractures due to traffic accident and the increasement of fractures due
to sports was impressive.
3. The age frequency was highst in the third decade(44.9%), and second(%),
fourth(%), decade in orders. In the first decade, the cause of fractures was traffic
accident and falldown only, and 송 fractures due to sports were concentrated on second
and third decade.
4. The frequent location of mandibular fractures was symphysis(36.1%), left
angle(16.4%), right condyle(10.4%), right angle(8.6%), left condyle(8.6%), left body(5.8%),
left ramus(4.0%), ramus(3.8%). The number of average fracture site was 1.62 at each
patient and the number of average fracture line was 1.91 at each patient.
5. The simple fracture was 43.7%, and the complex fracture was 56.3%, then the open
fracture was 35.5%, and the closed fracture was 64.5%.
6. In respect of treatment, the frequency of open reduction was 74.3% and that of
closed reduction was 25.7%, but in the condyle, closed reduction(68.0%) was the more
frequently using method of treatment than open reduction(32.0%).
7. The patients were treated an average of 3.27 days after injury and the average
hospitalization period was 10.07 days.
8. The mandibular 3rd molar was existing in 60.6% of angle fractures.
키워드
mandible; fracture;
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