负压封闭引流技术在儿童口腔颌面部间隙感染中的应用效果评价

目的 探讨负压封闭引流（vacuum sealing drainage,VSD）在治疗儿童颌面部间隙感染中的优势。方法 复习2016年6月—2017年9月郑州大学第一附属医院口腔外科收治的8例儿童（5~10岁）口腔颌面间隙感染患者的病历资料,3例患者采用VSD治疗,5例采用局部切开、常规引流治疗,分析颌面部间隙感染的病因、细菌感染类型,比较炎症指标、住院天数变化,评估治疗效果。采用SPSS 17.0软件包对数据进行统计学分析。结果 2组术前白细胞计数（WBC）水平差异无统计学意义（P>0.05）;治疗后,2组指标呈下降趋势,VSD组比传统组下降更显著（P<0.05）;常规引流住院天数平均10.17 d,VSD治疗患者平均9.8 d（包括复发后VSD治疗患者）。传统组有2例患者出院后复发,最后采用VSD技术治疗痊愈。结论 适时采用VSD技术,可提高儿童口腔颌面部间隙感染的治愈率。

Therapeutic outcomes of using vacuum sealing drainage for oral and maxillofacial space infections in children

PURPOSE: To investigate the clinical value of vacuum sealing drainage(VSD) for oral and maxillofacial space infections in children. METHODS: Eight children less than 10 years old with oral and maxillofacial space infections were included. Their clinical data including etiology, clinical characteristics, infection progress and treatment were reviewed and analyzed. Infection index and hospitalization days of 8 children were recorded. Among them, two were treated by vacuum sealing drainage (VSD group), six were treated by traditional incision drainage (traditional group). The hospitalization day and mean WBC were compared with SPSS 17.0 software package. RESULTS: The mean WBC had no significant difference between the 2 groups before operation(P>0.05). Both indexes decreased after treatment, significant difference was found between the 2 groups(P<0.05). CONCLUSIONS: Vacuum-assisted closure therapy is useful to improve recovery of children with oral and maxillofacial space infections compared to conventional dressing.