胸锁乳突肌瓣对腮腺浅叶切除术后负压引流效果的影响

目的探讨胸锁乳突肌瓣对腮腺浅叶切除术后负压引流效果的影响。方法收集需行腮腺浅叶切除术的病例90例,随机分为观察组(胸锁乳突肌瓣修复+负压引流)和对照组(负压引流)各45例,分别记录术后第3天、第4天、第5天24h引流量,将24h引流量≤10ml作为拔管标准,观察不同时间段的引流量、拔管率及拔管后涎瘘发生情况。利用SPSS19.0统计软件对数据进行统计学分析。结果①观察组术后第3天、第4天、第5天24h引流量均少于对照组,差异具有统计学意义(P<0.05)。②观察组术后第3天、第4天、第5天的拔管率均高于对照组,差异具有统计学意义(P<0.05)。③拔管后观察组的涎瘘发生率低于对照组,差异具有统计学意义(P<0.05)。结论腮腺浅叶切除术后利用胸锁乳突肌瓣修复可以有效地减少术后负压引流的引流量、缩短拔管时间、降低涎瘘发生率。

Effect of sternocleidomastoid muscle flap on negative pressure drainage after superficial parotidectomy

Objective To investigate the effect of sternocleidomastoid muscle flap on negative pressure drainage after superficial parotidectomy.Methods 90 cases requiring superficial parotidectomy were randomly divided into observation group(sternocleidomastoid muscle flap repair and negative pressure drainage)and control group(negative pressure drainage)each 45 cases.The 24h drainage volume was recorded on the 3rd,4th and 5th days respectively.Taking the 24h drainage volume≤10 ml as extubation standard,the drainage volume,extubation rate and salivary fistula after extubation were observed in different time periods.Statistical analysis was performed on the data using SPSS19.0 statistical software.Results①The 24h drainage volume of the observation group on the 3rd,4th and 5th days after operation was less than that of the control group,the difference was statistically significant(P<0.05).②The extubation rate of the observation group on the 3rd,4th and 5th days after operation was higher than that of the control group,the difference was statistically significant(P<0.05).③The incidence of salivary fistula in the observati-on group after extubation was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The repair of the sternocleidomas-toid muscle flap after superficial parotidectomy can effectively reduce the drainage v-olume and shorten the extubation time and reduce the incidence of salivary fistula after negative pressure drainage.