封闭负压引流技术治疗口腔颌面间隙感染的临床应用

doi:10.7518/hxkq.2019.01.012

华西口腔医学杂志 ›› 2019, Vol. 37 ›› Issue (1): 62-65.doi: 10.7518/hxkq.2019.01.012

封闭负压引流技术治疗口腔颌面间隙感染的临床应用

李春梅¹,解晨露²,胡爽¹,孙强¹,李光辉¹,牛志兴¹,孙明磊¹()

^1. 郑州大学第一附属医院口腔颌面外科,郑州 450052
^2. 河南科技大学第一附属医院口腔颌面外科,洛阳 471000

收稿日期:2018-04-11 修回日期:2018-07-15 出版日期:2019-02-01 发布日期:2019-02-01
通讯作者: 孙明磊 E-mail:mlsun@zzu.edu.cn
作者简介:李春梅,住院医师,硕士,E-mail：2387927529@qq.com
基金资助:
郑州市口腔颌面外科院士工作站项目(152PYSGZ040);河南省教育厅一般项目(13A320452)

Clinical value of vacuum sealing drainage in the treatment of oral and maxillofacial space infection

Chunmei Li¹,Chenlu Xie²,Shuang Hu¹,Qiang Sun¹,Guanghui Li¹,Zhixing Niu¹,Minglei Sun¹()

1. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
^2. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000, China

Received:2018-04-11 Revised:2018-07-15 Online:2019-02-01 Published:2019-02-01
Contact: Minglei Sun E-mail:mlsun@zzu.edu.cn
Supported by:
Zhengzhou Oral and Maxillofacial Surgery Academician Workstation Project(152PYSGZ040);Henan Edu-cation Department General Project(13A320452)

摘要/Abstract

摘要：

目的评价封闭负压引流（VSD）技术持续负压引流并生理盐水持续冲洗治疗口腔颌面间隙感染的疗效。方法对116例颌面间隙感染病例进行回顾性分析,收集患者临床资料,比较常规手术切开引流（传统治疗组,58例）和手术切开VSD（VSD组,58例）这2种治疗方法的治疗效果。结果 VSD组患者的住院时间、白细胞计数、瘢痕长度、换药次数、疼痛程度均低于传统治疗组,张口改善度优于传统治疗组（P<0.05）。结论封闭负压引流技术是治疗口腔颌面间隙感染的更为有效的一种方法。

关键词: 口腔颌面部, 间隙感染, 封闭负压引流, 切开引流

Abstract:

Objective This study aims to observe the efficacy of vacuum sealing drainage (VSD) by continuous negative pressure drainage and saline irrigation in the treatment of oral and maxillofacial space infection. Methods Retrospective analysis was conducted on 116 cases of maxillofacial space infection, and clinical data were collected to compare the thera-peutic effects of routine incision with drainage treatment (traditional treatment group, 58 cases) and VSD treatment (VSD group, 58 cases). Results The length of hospital stay, white blood cell count, scar length, frequency of dressing change, and pain degree of patients in the VSD group were all lower than those in the traditional treatment group. Moreover, the improvement degree of mouth opening in the VSD groups was better than that in the traditional treatment group (P<0.05). Conclusion VSD is a more effective method for the treatment of oral and maxillofacial space infection.

Key words: oral and maxillofacial, space infection, vacuum sealing drainage, incision and drainage

中图分类号:

R 782.3

李春梅,解晨露,胡爽,孙强,李光辉,牛志兴,孙明磊. 封闭负压引流技术治疗口腔颌面间隙感染的临床应用[J]. 华西口腔医学杂志, 2019, 37(1): 62-65.

Chunmei Li,Chenlu Xie,Shuang Hu,Qiang Sun,Guanghui Li,Zhixing Niu,Minglei Sun. Clinical value of vacuum sealing drainage in the treatment of oral and maxillofacial space infection[J]. West China Journal of Stomatology, 2019, 37(1): 62-65.

图/表 3

图 1.

表 1

表 2

参考文献 16

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变量	传统治疗组	VSD组	χ²/Z值	P值
年龄/岁	42.00±24.41	53.24±19.97	2.369 9	0.017 8
白细胞计数/（×10⁹·L^-1）	14.82±4.22	17.06±6.02	2.399 4	0.016 4
性别			0.915 9	0.338 6
男	24/41.38%	19/32.76%
女	34/58.62%	39/67.24%
全身系统性疾病			1.254 5	0.262 7
有	22/37.93%	28/48.28%
无	36/62.07%	30/51.72%
感染来源			1.897 7	0.168 3
牙源性感染	48/82.76%	53/91.38%
非牙源性感染	10/17.24%	5/8.62%
疼痛程度			6.195 8	0.045 1
轻度	14/24.14%	5/8.62%
中度	17/29.31%	15/25.86%
重度	27/46.55%	38/65.52%

变量	传统治疗组	VSD组	x²/Z值	P值
住院时间/d	16.91±6.97	11.89±2.45	5.763 8	<0.000 1
白细胞计数/（×10⁹·L^-1）	11.88±3.52	8.99±2.39	4.658 3	<0.000 1
张口改善度/cm	0.88±0.30	1.30±0.54	4.125 8	<0.000 1
瘢痕长度/cm	3.68±1.68	2.78±0.72	3.546 6	0.000 4
换药次数	23.72±7.71	2.62±0.70	9.150 6	<0.000 1
疼痛程度			15.084 4	0.000 5
轻度	31/53.45%	46/79.31%
中度	12/20.69%	11/18.97%
重度	15/25.86%	1/1.72%

封闭负压引流技术治疗口腔颌面间隙感染的临床应用

Clinical value of vacuum sealing drainage in the treatment of oral and maxillofacial space infection

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