腮腺部分切除术后单纯负压预防涎瘘的效果  

THE APPLICATION OF SIMPLE NEGATIVE AFTER PARTIAL PAROTIDECTOMY TO PREVENT SALIVARY FISTULA

作　　者：江瑾[1] 卜令学[1] 袁荣涛[1] 尚伟[1] 冯元勇[1] 贾暮云[1] 

机构地区：[1]青岛大学医学院附属医院口腔颌面外科,山东青岛266003

出　　处：《青岛大学医学院学报》2015年第2期187-188,共2页Acta Academiae Medicinae Qingdao Universitatis

基　　金：青岛市科技发展指导计划项目(KZD-11)

摘　　要：目的了解腮腺部分切除术后单纯负压预防涎瘘的效果。方法行腮腺部分切除术的腮腺疾病病人103例,分为传统加压组（拔除引流管后继续加压包扎）和单纯负压组（拔除引流管后不再绷带加压包扎）,比较两组术后涎瘘的情况,同时分析单纯负压组引流量、引流天数与涎瘘的关系。结果两组涎瘘率比较差异无显著性（P〉0.05）;单纯负压组引流天数与涎瘘率无明显关系（P〉0.05）,而引流量少于10mL组涎瘘率与20~30mL组比较差异有显著性（P=0.004）。结论腮腺部分切除术后单纯负压引流预防涎瘘的效果较好,引流量小于10mL可作为最佳的拔除引流管时机。Objective To investigate the effect of simple negative on prevention of salivary fistula after partial parotidec- tomy. Methods This study enrolled 103 patients who underwent partial parotideetomy for parotid diseases. The patients were divided into traditional compression group （pressure dressing continued after removal of the drainage tube, and simple negative pressure group） no compression bandage was applied after removing the drainage tube. Postoperative salivary fistula was compared between the two groups, and the association of drainage and drainage days with salivary fistula was analyzed as well. Results The difference of rate of salivary fistula between the two groups was not statistically significant （P〉0.05）. In the simple negative pressure group, no significant relationship was noted between days of drainage and rate of salivary fistula （P 〉 0.05）, and the difference between the group of drainage volume of less than 10 mL and that of 20- 30 mL was significant （P = 0.004）. Conclusion The effect is better using simple negative pressure drainage to prevent salivary fistula after partial parotidectomy. The volume of drainage of less than 10 mL can be used as the best time for extnbation.

关 键 词：腮腺 口腔外科手术 涎瘘 引流术 

分 类 号：R782[医药卫生—口腔医学]