腮腺术后负压引流与正压引流的对比研究

目的　探讨负压引流在腮腺手术中的应用价值。方法　需手术治疗的腮腺疾病患者 10 1例 ,随机分为负压引流组(5 7例 )与正压引流组 (4 4例 ) ,记录术后创口积液、涎瘘、血肿以及皮瓣坏死等并发症发生情况 ,同时分析不同的引流方式与术后处理的关系。结果　负压引流组的积液、涎瘘、血肿以及皮瓣坏死等并发症发生率 (4 5 % )低于正压引流组 (4 5 5 % ) ,两组间差异有显著性 (P <0 0 1) ;负压引流组可以减少异丙托溴铵使用时间及加压包扎时间而不影响Ⅰ期愈合率。结论　腮腺切除术后应用负压引流优于传统的正压引流。

A Comparative Study on Post-parotidectomy between Negative Pressure Drainage and Positive Pressure Drainage

Objective To investigate the function of the negative pressure drainage in thyroid gland surgery.Methods 101 examples of the thyroid gland disease which needed surgery were randomly divided into the negative pressure drainage group (57 examples) and the positive pressure drainage group (44 examples) and the complications of wounds fluid-accumulating, fistula, haematoma and skin petal petal necrosis were recorded. The relations between the different drainage ways and post-processing were analyzed.Results The complication rate of the negative pressure drainage group was significantly lower than that of the positive pressure drainage group (P<0.01). The negative pressure drainage group could greatly reduce the time of using atropine and arapping-up time, but it did not affect IssueⅠ healing rate. Conclusion This method had some advantoges over traditional positire pressure drainage.