口腔颌面部间隙感染诊疗专家共识  

Expert consensus on the treatment of oral and maxillofacial space infections

作　　者：李云鹏[1] 石冰[2] 张浚睿[1] 刘彦普[1] 沈国芳 郭传瑸[4] 杨驰[5] 李祖兵 张志光[7] 王慧明[8] 卢利[9] 胡开进[1] 季平[10] 许彪[11] 张伟[4] 刘静明 龚忠诚[13] 任战平[14] 田磊[1] 袁华[15] 张惠[16] 马婕[1] 孔亮[1] Li Yunpeng;Shi Bing;Zhang Junrui;Liu Yanpu;Shen Guofang;Guo Chuanbin;Yang Chi;Li Zubing;Zhang Zhiguang;Wang Huim ing;Lu Li;Hu Kaijin;Ji Ping;Xu Biao;Zhang Wei;Liu Jingming;Gong Zhongcheng;Ren Zhanping;Tian Lei;Yuan Hua;Zhang Hui;Ma Jie;Kong Liang(Department of Oral and Maxillofacial Surgery,School of Stomatology,The Fourth Military Medical University&State Key Laboratory of Military Stomatology&National Clinical Research Center for Oral Diseases&Shaanxi Clinical Research Center for Oral Diseases,Xi'an 710032,China;Department of Cleft Lip and Palate Surgery,West China Hospital of Stomatology,Sichuan University&State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases,Chengdu 610041,China;Shanghai University of Medicine&Health Sciences,Shanghai 200120,China;Department of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China;Department of Oral and Maxillofacial Surgery,Ninth Peopled Hospital,Shanghai Jiao Tong University School of Medicine&Shanghai Key Laboratory of Stomatology&Shanghai Research Institute of Stomatology&National Clinical Research Center of Stomatology,Shanghai 200011,China;Department of Oral and Maxillofacial Trauma and Plastic Surgery,School of Stomatology,Wuhan University,Wuhan 430079,China;Department of Oral and Maxillofacial Surgery,Guanghua School of Stomatology,Hospital of Stomatology,Sun Yat-sen University&Guangdong Provincial Key Laboratory of Stomatology,Guangzhou 510055,China;Department of Oral Implantology,The Affiliated Hospital of Stomatology,School of Stomatology,Zhejiang University School of Medicine,and Key Laboratory of Oral Biomedical Research of Zhejiang Province,Hangzhou 310006,China;Department of Oral and Maxillofacial Surgery,School and Hospital of Stomatology,China Medical University,Liaoning Provincial Key Laboratory

机构地区：[1]第四军医大学口腔医学院口腔颌面外科军事口腔医学国家重点实验室口腔疾病国家临床医学研究中心陕西省口腔疾病临床医学研究中心,西安710032 [2]四川大学华西口腔医院唇腭裂外科口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心,成都610041 [3]上海健康医学院,200120 [4]北京大学口腔医学院•口腔医院口腔颌面外科国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室,100081 [5]上海交通大学医学院附属第九人民医院口腔颌面外科上海市口腔医学重点实验室上海市口腔医学研究所国家口腔疾病临床研究中心,200011 [6]武汉大学口腔医院口腔颌面创伤与整形美容外科,430079 [7]中山大学光华口腔医学院•附属口腔医院口腔颌面外科•广东省口腔医学重点实验室,广州510055 [8]浙江大学医学院附属口腔医院种植科•浙江大学口腔医学院浙江省口腔生物医学研究重点实验室,杭州310006 [9]中国医科大学口腔医学院口腔颌面外科•辽宁省口腔医学研究所,沈阳110002 [10]重庆医科大学附属口腔医院种植科口腔疾病与生物医学重庆市重点实验室重庆市高校市级口腔生物医学工程重点实验室,401147 [11]昆明医科大学附属口腔医院口腔颌面外科,650000 [12]首都医科大学口腔医学院口腔颌面外科,100050 [13]新疆医科大学第一附属医院口腔颌面肿瘤外科,乌鲁木齐830054 [14]西安交通大学口腔医院口腔颌面外科,710004 [15]第四军医大学西京医院康复医学科,西安710032 [16]第四军医大学口腔医学院麻醉科军事口腔医学国家重点实验室口腔疾病国家临床医学研究中心陕西省口腔生物工程技术研究中心,西安710032

出　　处：《中华口腔医学杂志》2021年第2期136-144,共9页Chinese Journal of Stomatology

摘　　要：口腔颌面部间隙感染(oral and maxillofacial space infections,OMSI)是颌面部潜在筋膜间隙的感染,是口腔颌面部的常见疾病。OMSI病例具有耐药菌感染增多、重症感染增多、致死风险增加等特点。为提高OMSI的治愈率,其治疗原则与方法需与时俱进。因此,依据国内部分专家当前诊治OMSI的临床经验,结合国际同行治疗经验,本文从术前检查、检查结果解读、经验性用药原则、手术处理原则、术后换药原则、智齿冠周炎相关间隙感染的防治策略、血糖监测与控制、物理因子治疗原则、路德维希咽峡炎治疗和围手术期护理等10个方面进行系统性总结,形成共识,以期逐步实现我国口腔颌面外科同行诊治OMSI的规范化与标准化,最终达到提高我国OMSI的诊疗水平的目的。Oral and maxillofacial space infections(OMSI)are common diseases of the facial region involving fascial spaces.Recently,OMSI shows trends of multi drug-resistance,severe symptoms,and increased mortality.OMSI treatment principles need to be updated to improve the cure rate.Based on the clinical experiences of Chinese experts and with the incorporation of international counterparts′expertise,the principles of preoperative checklist,interpretation of examination results,empirical medication principles,surgical treatment principles,postoperative drainage principles,prevention strategies of wisdom teeth pericoronitis-related OMSI,blood glucose management,physiotherapy principles,Ludwig′s angina treatment and perioperative care were systematically summarized and an expert consensus on the diagnosis and treatment of OMSI was reached.The consensus aims to provide criteria for the diagnosis and treatment of OMSI in China so as to improve the level of OMSI treatment.

关 键 词：感染 口腔颌面部间隙 诊疗技术 专家共识 

分 类 号：R782.3[医药卫生—口腔医学]