98例儿童口腔颌面部间隙感染的回顾性分析  

Retrospective analysis of 98 cases of oral and maxillofacial space infection in children

作　　者：赵志国[1] 高丹[2] 张力平[1] ZHAO Zhi-guo;GAO Dan;ZHANG Li-ping(Department of Oral and MaxiUofacial Surgery, Shenyang Hospital, China Medical Uni- versity, Shenyang 110004, China)

机构地区：[1]中国医科大学附属盛京医院口腔颌面外科,辽宁沈阳110004 [2]中国医科大学附属盛京医院检验科,辽宁沈阳110004

出　　处：《中国美容整形外科杂志》2018年第3期168-170,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨儿童口腔颌面部间隙感染的特点,为临床诊治提供参考和依据。方法回顾分析自2007年1月至2016年12月收治的98例口腔颌面部间隙感染患儿的病例资料并进行总结。结果 98例口腔颌面部感染患儿男女比例为1.13∶1.00,平均发病年龄4.34岁。颌下间隙感染最为常见,腺源性感染为主要感染源;其次为颊间隙感染,牙源性感染;金黄色葡萄球菌、溶血性链球菌和大肠埃希菌是主要病原菌。结论掌握儿童口腔颌面部间隙感染的特点,在综合治疗的同时,应有针对性地根据细菌培养和药敏试验结果进行治疗,以提高临床疗效。Objective To discuss the clinical features of oral and maxillofacial space infection in children and provide a basis for clinical diagnosis and treatment. Methods A retrospective analysis of the clinical data of 98 hospitalized pediatric patients with oral and maxillofacial space infection from Jan. 2007 to Dec. 2016. Results The 98 children with oral and maxillofacial infections were an average age of 4.34 years. The male/female ratio was 1.13 ∶1.00. Submandibular space infection was the most common, where the main infection source was lymphadenitis infection. The second most common was in the buccal space, where the main infection source was odontogenic.Staphylococcus aureus, Hemolytic streptococcus, and Escherichia coli were the common pathogenic bacteria. Conclusion Successful treatment of these characteristic pediatric oral and maxillofacial space infections will involve treatment based on the results of germiculture and bacterial susceptibility tests while employing a comprehensive therapy to improve the clinical outcome.

关 键 词：口腔颌面部 儿童 间隙感染 病原菌 

分 类 号：R782.3[医药卫生—口腔医学]