改良小切口治疗四川省阿坝地区口底多间隙感染的疗效分析  

Effect analysis of modified small incision in the treatment of cellulitis of mouth floor in Aba prefecture of Sichuan province

作　　者：江蓉[1] 郭骏[2] 张志强 钟应权 雷博[1] 费伟[2] JIANG Rong;GUO Jun;ZHANG Zhi-qiang;ZHONG Ying-quan;LEI Bo;FEI Wei(Department of Stomatology,Aba Prefecture People's Hospital,Maerkan 624000,China;Department of Oral and Maxillofacial Surgery,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital,Chengdu 610072,China)

机构地区：[1]四川省阿坝藏族羌族自治州人民医院口腔科,四川阿坝州624000 [2]四川省医学科学院·四川省人民医院颌面外科,四川成都610072

出　　处：《实用医院临床杂志》2020年第5期214-217,共4页Practical Journal of Clinical Medicine

摘　　要：目的探讨四川省阿坝地区口底多间隙感染的临床特征、治疗方法及疗效。方法收集2000年1月至2018年12月在阿坝州人民医院收治住院的口底多间隙感染患者128例,其中2009年12月前采用传统切开治疗的37例为传统切口组;2010年后改良小切口治疗91例的为改良小切口组,分析口底多间隙感染患者的临床特征,比较两者的操作方式与疗效。结果128例患者中,牙源性感染101例,拔牙术后感染8例(85.2%),腺源性感染19例(14.8%)。传统治疗组平均住院日为(13.0±3.5)天,改良治疗组平均住院日为(9.7±2.6)天。传统治疗组治疗有效率94.5%;改良组治疗有效率100%。两组平均手术时间、平均切口长度、平均出血量和平均住院天数比较,差异有统计学意义(P<0.05)。结论与传统广泛切开相比,单个或多个小切口及时准确的切开引流可以有效治愈感染。Objective To explore the clinical features,treatment methods and efficacy of cellulitis of the mouth floor of the Aba area in Sichuan province,and to provide a reference for the clinical diagnosis and treatment of primary stomatology in plateau areas.Methods A total of 128 patients with cellulitis of the mouth floor admitted to the Aba People's Hospital from January 2000 to December 2018 were collected.According to the size of the surgical incision,they were divided into traditional incision treatment group(before 2009,n=37)and modified small incision treatment group(After 2010,n=91).The clinical characteristics of patients with cellulitis of the mouth floor were analyzed and the operation methods and efficacy were compared between the two groups.Results Among the 128 patients,101 were odontogenic infections(78.9%),8(6.3%)were infected after tooth extraction,and 19(14.8%)were glandular infections.The average hospital stay in the traditional treatment group was(13.0±3.5)days,and the average hospital stay in the modified treatment group was 9.7±2.6 days.The traditional treatment group had a treatment efficiency of 94.5%while the modified treatment group had a treatment efficiency of 100%.The difference in average operation time,average incision length,average bleeding volume and average hospital stay between the two groups was statistically significant(P<0.05).Conclusion Compared with the traditional wide incision,the modified small incision has a significant minimally invasive advantage in the treatment of cellulitis of the mouth floor.

关 键 词：阿坝地区 口底多间隙感染 临床分析 小切口 

分 类 号：R782.3[医药卫生—口腔医学]