腮腺浅叶切除术后单纯负压加压预防涎瘘的效果评价

发布时间：2018-05-20 03:07

本文选题：腮腺浅叶切除术 + 涎瘘　；参考：《上海口腔医学》2014年06期

【摘要】：目的:评价单纯负压引流在腮腺手术后涎瘘预防中的临床价值,根据术后引流量、引流天数与涎瘘的关系,寻找最佳的拔管时机。方法:不保留腮腺导管的腮腺浅叶切除的腮腺疾病患者194例,分为传统加压组(拔除引流管后继续加压包扎)和单纯负压组(拔管后不再加压包扎),记录术后涎瘘情况。应用SPSS19.0软件包对数据进行统计学分析。结果:传统加压组涎瘘发生率(11.6%)与单纯负压组涎瘘发生率(15.5%)无显著差异(P0.05);单纯负压组,引流天数与涎瘘发生率无显著相关性(P0.05),而引流量少于20 m L的患者,术后涎瘘发生率显著低于20~30 m L者。结论:单纯负压引流能代替传统拔管后继续加压包扎预防涎瘘,引流量小于20 m L可作为拔管的最佳时机。
[Abstract]:Objective: to evaluate the clinical value of simple negative pressure drainage in the prevention of salivary fistula after parotid gland operation. Methods: 194 patients with parotidectomy without retaining parotid duct were divided into two groups: the traditional compression group (continuous compression bandaging after drainage tube extraction) and the simple negative pressure group (no pressure bandaging after extubation). The postoperative salivary fistula was recorded. The data were analyzed by SPSS19.0 software package. Results: there was no significant difference in the incidence of salivary fistula between the traditional pressure group (11.6%) and the simple negative pressure group (15.5m), but there was no significant correlation between the drainage days and the incidence rate of salivary fistula in the simple negative pressure group (P < 20ml). The incidence of postoperative salivary fistula was significantly lower than that of 20 ~ 30 mL. Conclusion: the simple negative pressure drainage can replace the traditional pressure bandaging after extubation to prevent the salivary fistula, and the drainage less than 20 mL can be the best time for extubation.
【作者单位】：青岛大学附属医院口腔颌面外科;山东省临沂市人民医院口腔科;山东省高密市中医院口腔科;
【基金】：青岛市科技发展指导计划(KZD-11)~~
【分类号】：R782.7

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