腮腺术后负压引流和橡皮条引流疗效观察.docVIP

腮腺术后负压引流和橡皮条引流疗效观察 　　摘要：目的通过观察腮腺手术患者应用负压引流的临床疗效，分析术后应用负压引流的相关注意事项，以及与术后涎瘘相关的临床因素。方法选择96例腮腺肿瘤手术治疗后的患者，随机分为A组：橡皮条引流组48例；B组：负压引流组48例，通过观察皮瓣的贴附、引流量的多少、术区对加压包扎的要求以及涎瘘发生率，分析A、B组对促进术区愈合的情况。结果观察A、B两组皮瓣的贴附、引流量的多少、术区对加压包扎的要求无明显差异; B组的涎瘘发生率(10.40％)低于A组(16.67％)，两组间无显著性差异(P0.05)。结论腮腺手术术后负压引流合并短暂加压包扎可明显减少涎瘘的发生,具有一定的临床推广应用价值。 　　关键词：腮腺切除术；涎瘘；负压引流 　　Comparison of Negative Pressure Drainage and Rubber Band Drainage in Parotid Gland Therapeutic Effect after Operation 　　GU Ai-ling 　　(Department of Stomatology,Puyang City Peoples Hospital,Puyang 457000,Henan,China) 　　Abstract：ObjectiveTo evaluate the application of suction drain for parotidectomy analyze the clinical factors correlate. Methods96 patients with parotid diseases were divided into two groups at random. A group used rubber strip and two weekspressure dressing in parotid region after parotidectomy B group used suction drain and 2~3 days pressure dressing The relationship between drainage style and post-parotidectomy salivary fistula was analyzed by Chi-square test. Some clinical factors such as pathological diagnosis，operation scheme and the management of the main duct were also analyzed. ResultsThe rate of salivary fistula of the group with suction drain(10.40％) was lower than the group with rubber strip(16. 67％)，but no statistical significant difference between two groups could be found(P0.05). The post-parotidectomy salivary fistula had no significant correlation with pathological diagnosis，operation scheme and the management of the main duct(P0.05).ConclusionNegative pressure drainage combined with elastic pressure dressing can reduce the incidence of salivary fistula as well as that of the rubber band drainage. 　　Key words：Salivary fistula； Negative pressure drainage； Rubber pander drainage； Parotid gland 　　腮腺肿瘤是口腔颌面外科较为常见的肿瘤疾病，在颌面部肿瘤中发病率高达80％，由于口腔颌面部特殊的颜面部位、神经分布复杂、血运丰富，使得腮腺手术治疗具有较高的难度和风险，因此，对于腮腺术后的相关并发症的预防应该引起足够的重视[1]。腮腺区的术创不仅产生渗血和炎性渗出，而且会分泌唾液，影响手术创面的愈合，甚至有些还会出现涎瘘，涎瘘在所有腮腺术后并发症中发生机率最高[2]。为防止涎瘘，术后均在创口放置引流，将创区渗液引出