负压引流在腮腺手术中的应用  

The study of application of suction drainage in parotid gland surgery

作　　者：刘凤桐[1] 杨学财[1] 尚伟[1] 孙健[1] 金晓明[1] 冯元勇[1] 

机构地区：[1]山东省青岛大学医学院附属医院口腔颌面外科,266003

出　　处：《现代口腔医学杂志》2009年第5期486-488,共3页Journal of Modern Stomatology

摘　　要：目的探讨负压引流在腮腺手术中的应用价值,分析与腮腺术后涎瘘等相关的临床因素。方法需手术治疗的腮腺疾病患者396例,随机分为负压引流组(200例)与正压引流组(196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的情况,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(4.0%)低于正压引流组(15.3%),两组之间的差异有统计意义(P<0.01),负压引流组术后不必加压包扎而不影响I期愈合。结论腮腺切除术后应用负压引流优于传统的正压引流,具有临床应用价值,值得推广。Objective To investigate the function of the suction drainage in parotidectomy and to analyze the clinical factors related to salivary fistula after surgery.Methods A total of 396 patients received parotidectomy were randomly divided into two groups,the suction drainage group （200 patients） and the positive pressure drainage group （196 patients）. The complications such as wounds fluid accumulted,saliva fistula,hematoma and skin flap necrosis were recorded. The relations between the different drainage ways and treatment after surgery were analyzed.Results The complication rate of suction drainage group was significantly lower than that of the positive pressure drainage group （P〈0.01）. The suction drainage group did not need compression bandaging,and did not affect issue I healing rate.Conclusion This method had some advantages over traditional positive pressure drainage. It worth extending for its clinical application.

关 键 词：腮腺疾病 腮腺切除术 负压引流 涎瘘 

分 类 号：R739.8[医药卫生—肿瘤]