超声刀与腮腺术后涎瘘的关系研究  

Study on the Relationship Between the Ultrasonic Scalpel and Parotid Salivary Fistula After Operation

作　　者：赵璧[1] 陈娟[1] 杨新华[1] 钱超[1] 

机构地区：[1]江苏省溧阳市人民医院口腔科,213300

出　　处：《中国继续医学教育》2015年第24期84-85,共2页China Continuing Medical Education

摘　　要：目的探讨超声刀与腮腺术后涎瘘之间的关系。方法收集腮腺手术病例63例,将其随机分为两组手术,使用Focus超声刀完成腮腺手术33例(超刀组),另选取电刀手术30例设为对照(电刀组)。两组患者均在气管插管全麻下行腮腺浅叶切除,术式一致。并对两组术中出血量、术后引流量、术后涎瘘等数据进行对比研究。结果超声刀组所得出的各项数据均低于传统电刀组,差异有统计学意义(P<0.05)。结论在腮腺手术中使用超声刀可减少术后涎瘘的发生。Objective To explore the relationship between harmonic scalpel and salivary fistula in parotid operation. Methods 63 cases of parotid operation, will be divided into two groups of operation, the use of focus to complete the operation of 33 cases of parotid gland （harmonic scalpel group）, another selection of electric knife operation in 30 cases as control （electric knife group）. Two groups of patients were resected in tracheal intubation general anesthesia operation of superifcial lobe of parotid gland, consistent. And two blood loss, postoperative drainage, postoperative salivary ifstula and other data were compared. Results The data obtained from harmonic scalpel group were lower than those of the traditional electric knife group, the difference was statistically significant （P〈0.05）. Conclusion Using the harmonic scalpel in parotid surgery can signiifcantly reduce the incidence of postoperative salivary ifstula.

关 键 词：超声刀 腮腺 涎瘘 

分 类 号：R782.7[医药卫生—口腔医学]