中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (4): 352-356.doi: 10.19438/j.cjoms.2018.04.012

• 论著 • 上一篇    下一篇

负压封闭引流辅助冲洗技术在38例口腔颌面颈部重症多间隙感染中的应用效果评价

蒋建平1,*, 高炳菊2,*, 邱宇2, 李军2, 廖云阳2, 叶卓2, 林阳2, 林李嵩2   

  1. 1.福建省南平市浦城县医院 口腔科,福建 南平 353400;
    2.福建医科大学附属第一医院 口腔颌面外科,福建医科大学面部整复与重建研究室,福建 福州 350005
  • 收稿日期:2017-12-01 修回日期:2018-01-24 出版日期:2018-07-20 发布日期:2018-08-09
  • 通讯作者: 林李嵩,E-mail：dr_lls@163.com
  • 作者简介:蒋建平（1971-）,男,学士,副主任医师,E-mail：2025560838@qq.com;高炳菊（1988-）,女,硕士,住院医师,E-mail：244749728@qq.com。
  • 基金资助:
    福建省自然科学基金（2016J01452）

Application of vacuum sealing drainage assisted washing technology in 38 patients with severe multiple space infections in oral maxillofacial and neck region

JIANG Jian-ping1, GAO Bing-ju2, QIU Yu2, LI Jun2, LIAO Yun-yang2, YE Zhuo2, LIN Yang2, LIN Li-song2   

  1. 1. Department of Stomatology, County Hospital of Pucheng. Nanping 353400;
    2.Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University; Laboratory of Facial Plastic and ReconstructiveSurgery. Fuzhou 350005, Fujian Province, China
  • Received:2017-12-01 Revised:2018-01-24 Online:2018-07-20 Published:2018-08-09

摘要： 目的:比较负压封闭引流辅助冲洗技术与传统脓肿切开引流术在口腔颌面颈部重症多间隙感染治疗中的临床效果。方法:回顾2014年6月—2017年5月福建医科大学附属第一医院口腔颌面外科收治的73例口腔颌面颈部重症多间隙感染的患者资料,对运用负压引流辅助冲洗技术和传统脓肿切开引流术的2组患者在疾病治愈时间、切口长度、医师工作量（换药次数）、治疗费用方面进行对比,采用SPSS 22.0软件包对数据进行统计学分析。结果:73例患者中,38例行负压封闭引流辅助冲洗,35例行传统脓肿切开引流,所有患者均治愈。在脓肿治愈时间、手术瘢痕长度、医师工作量等方面,前者显著优于后者（P<0.05）;在治疗费用方面比较,2组差异无统计学意义（P>0.05）。结论:负压封闭引流辅助冲洗技术治疗口腔颌面颈部重症多间隙感染具有良好的临床效果,与传统切开引流治疗相比,具有治疗时间短、疼痛轻、疗效高等优势,值得推广。

关键词: 负压封闭引流辅助冲洗技术, 口腔颌面颈部, 重症多间隙感染

Abstract: PURPOSE:To evaluate the clinical efficacy of vacuum sealing drainage assisted washing technology and traditional incision and drainage in the treatment of severe multiple infection in oral maxillofacial and neck region. METHODS: The date of 73 patients from June 2014 to May 2017 in our hospital, who had severe multiple space infections in oral maxillofacial and neck region were analyzed retrospectively. Among 73 patients, 38 were treated with vacuum sealing drainage assisted washing technology, while 35 were treated with traditional incision drainage. Healing time, surgical scar length, work intensity (the time of dressing change), the costs of treatment of 2 groups were compared with SPSS 22.0 software package. RESULTS: All patients were cured. Compared with traditional incision drainage, the healing time, surgical scar length and work intensity in cases with vacuum sealing drainage assisted washing were shorter or lesser, the difference was statistically significant (P<0.05), but there was no significant difference in the cost of treatment between the two groups(P>0.05). CONCLUSIONS: Compared with traditional incision drainage group, vacuum sealing drainage assisted washing technology for severe multiple space infection in oral maxillofacial and neck region can achieve better clinical outcome, which makes faster healing, shorter scar, higher effectiveness, and thus is worthy of wide application.

Key words: Vacuum sealing drainage assisted washing technology, Maxillofacial and neck region, Severe multiple space infection

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