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封闭负压引流技术治疗口腔颌面间隙感染的临床应用
引用本文: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.
作者姓名:李春梅  解晨露  胡爽  孙强  李光辉  牛志兴  孙明磊
作者单位:郑州大学第一附属医院口腔颌面外科,郑州,450052;河南科技大学第一附属医院口腔颌面外科,洛阳,471000
基金项目: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)
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
收稿时间:2018-04-11
修稿时间:2018-07-15

Clinical value of vacuum sealing drainage in the treatment of oral and maxillofacial space infection
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.
Authors:Chunmei Li  Chenlu Xie  Shuang Hu  Qiang Sun  Guanghui Li  Zhixing Niu  Minglei Sun
Institution:1. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China2. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000, China
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.
Keywords:oral and maxillofacial  space infection  vacuum sealing drainage  incision and drainage  
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