小切口负压引流技术治疗颌面颈部感染的临床观察

作者单位:661000 云南 个旧,云南省红河州第三人民医院耳鼻咽喉头颈外科

 小切口;负压引流技术;颌面颈部感染

Clinical Observation of Small Incision Negative Pressure Drainage Technique in the Treatment of Maxillofacial Neck Infection
CUI Zhenying, HOU Qun

(Department of Otolaryngology Head and Neck Surgery, Third People’s Hospital of Honghe, Gejiu 661000, Yunnan Province, China)

 Small Incision; Negative Pressure Drainage Technology; Mandibular Neck Infection

DOI: 10.3969/j.issn.1672-7185.2020.06.021

备注

 目的  观察小切口负压引流技术治疗颌面颈部感染的临床效果。方法  选取2016年1月—2018年1月在红河州第三人民医院治疗的50例颌面颈部感染患者,按照患者意愿分两组进行治疗,对照组采取常规切口引流术进行治疗,观察组采用小切口负压引流技术进行治疗。比较两组的手术治疗效果、术前、术后白细胞( W B C )和C反应蛋白( C R P)水平、瘢痕长度、拔管时间、并发症等指标。结果  两组临床有效率比较差异无统计学意义 (P>0.05);两组术前W BC、C RP水平差异无统计学意义( P>0.05),术后查两组W BC、C RP水平较术前均有降低,差异有统计学意义( P<0.05),且观察组术后W BC、C RP水平低于对照组( P<0.05);观察组瘢痕长度、拔管时间均少于对照组( P<0.05)。观察组患者术后并发症发生率低于对照组,但组间比较差异无统计学意义 (P>0.05)。结论  小切口负压引流技术治疗颌面颈部感染临床有效率与常规切口引流术基本相当,但术后恢复更快、美观效果更好。
 Objective  To observe the clinical effect of small incision negative pressure drainage in the treatment of maxillofacial and neck infection. Methods  From January 2016 to January 2018, a total of 50 patients with maxillofacial and neck infection were treated in the third people’s Hospital of Honghe Prefecture. They were divided into two groups according to the patients’ wishes. The control group was treated with conventional incision drainage, and the observation group was treated with small incision negative pressure drainage. The therapeutic effect, the level of WBC and CRP, the length of scar, the time of extubation and complications were compared between the two groups. Results  There was no significant difference in clinical effective rate between the two groups (P>0.05). There was no significant difference in WBC and CRP levels between the two groups before operation (P>0.05), but WBC and CRP levels after operation in both groups were significantly lower than those before operation (P<0.05), and the WBC and CRPlevels in the observation group were significantly lower than control group (P<0.05). The scar length and extubation time of the observation group were significantly less than those of the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, but there was no significant difference between the two groups (P>0.05). Conclusion  The clinical effective rate of small incision negative pressure drainage is almost the same as that of conventional incision drainage, but the postoperative recovery is faster and the aesthetic effect is better.