探讨微创切口联合负压引流治疗颌面部间隙感染临床效果.docVIP

探讨微创切口联合负压引流治疗颌面部间隙感染临床效果 　　[摘要] 目的 探讨微创切口联合负压引流治疗颌面部间隙感染的疗效。方法 方便选取该院2013年1月―2016年12月期间收治的80例颌面部间隙感染患者为例，随机将其分为观察组和对照组，每组40例。对照组患者行传统切开引流手术治疗，创口置普通细橡皮管，观察组患者实施微创切口联合负压引流治疗。评价2组患者治愈率，并就患者拔管时间、病原菌清除率及并发症发生率展开比较。结果 观察组和对照组临床治愈率分别为82.5%、70.0%，2组比较差异有统计学意义（P0.05）。结论 微创切口联合负压引流治疗颌面部间隙感染有显著的效果，不但创伤小、美观，安全性更高，值得推广。 　　[关键词] 微创切口；负压引流；颌面部间隙感染；并发症 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）10（b）-0103-03 　　[Abstract] Objective This paper tries to observe the curative effect of minimally invasive incision combined with negative pressure drainage on maxillofacial space infection. Methods 80 cases of maxillofacial interstitial infection admitted in this hospital from January 2013 to December 2016 were convenient selected and randomly divided into the observation group and the control group with 40 cases in each group. The patients in the control group underwent conventional incision and surgical treatment and the wound was treated with norm thin rubber hose. The patients in the observation group were treated with minimally invasive incision combined with negative pressure drainage. The cure rate of the two groups was evaluated and the incidence of extubation time， pathogen clearance rate and complication rate were compared. Results The clinical cure rates of the observation group and the control group were 82.5% and 70.0% respectively. There was significant difference between the two groups（P0.05）. Conclusion Minimally invasive incision combined with negative pressure drainage treatment of maxillofacial space infection has a significant effect， with small and minor trauma， which is safe and secure， therefore it is worthy of promotion. 　　[Key words] Minimally invasive incision； Negative pressure drainage； Maxillofacial interstitial infection； Complication 　　?M面部间隙感染是临床上常见的疾病，包括颜面、颌周、口咽区软组织肿胀化脓性炎症等疾病，发病较急，常表现为急性炎症过程[1]。患者临床表现为化脓性感染，红、肿、热、痛、功能障碍，重者还伴有全身高热、寒战、脱水等不适症状。传统的切开治疗有一定的效果，但其创伤太大，后期患者恢复的时间较长，且容易引起多种并发症[2]。因此，微创切口联合负压引流技术逐渐受到关注，该次研究以该院2013年1月―2016年12月期间收治的80例患者为例，探讨微创