延长负压引流时间预防腮腺术后涎瘘的研究  

Prolonging negative pressure drainage time to prevent salivary fistula after parotidectomy

作　　者：郭巧玲[1] 骆献阳[1] 上官翰京[1] 陈爱民[1] 姜元芹[1] Guo Qiaoling;Luo Xianyang;Shangguan Hanjing;Chen Aimin;Jiang Yuanqin(Department of Otolaryngology-Head and Neck Surgery,The First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian Province,China)

机构地区：[1]厦门大学附属第一医院耳鼻咽喉头颈外科,厦门361003

出　　处：《中国基层医药》2023年第12期1794-1797,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察延长负压引流管时间在腮腺术后的应用效果,分析其与术后涎瘘发生率的关系。方法回顾性分析2021年7月至2022年6月因腮腺良性肿瘤于厦门大学附属第一医院耳鼻咽喉头颈外科住院治疗的患者94例的临床资料,依据负压引流管时间分为两组各47例。观察组术后单纯负压引流1周后拔除负压引流管,对照组传统腮腺局部包扎2周加2~3 d负压引流。观察两组患者术后引流量、疼痛程度及涎瘘发生率。结果观察组引流总量为(77.93±23.83)mL,多于对照组的(47.06±24.71)mL(t=6.17,P<0.001)。观察组疼痛视觉模拟评分法评分为(3.021±1.07)分,低于对照组的(7.53±1.27)分(t=18.63,P<0.001)。观察组术后涎瘘发生率为2.1%(1/47),低于对照组的17.0%(8/47)(χ^(2)=4.42,P=0.035)。结论单纯延长负压引流时间可达到充分引流,可提高腮腺术后患者生活质量及减少术后涎瘘的发生,值得临床推广。Objective To investigate the effect of prolonged negative pressure drainage time after parotidectomy and analyze its relationship with the incidence of postoperative salivary fistula.Methods The clinical data of 94 patients with benign parotid gland tumors who received treatment in the Department of Otolaryngology-Head and Neck Surgery of The First Affiliated Hospital of Xiamen University from July 2021 to June 2022 were retrospectively analyzed.These patients were divided into an observation group and a control group(n=47 per group).In the observation group,the negative pressure drainage tube was removed after 1 week of simple negative pressure drainage,while in the control group,conventional local bandaging of the parotid gland was performed for 2 weeks,and negative pressure drainage was given for 2-3 days.Postoperative drainage volume,pain degree,and the incidence of salivary fistula were recorded for each group.Results The total drainage volume in the observation group was(77.93±23.83)mL,which was significantly greater than(47.06±24.71)mL in the control group(t=6.17,P<0.001).The Visual Analogue Scale score in the observation group was(3.021±1.07)points,which was significantly lower than(7.53±1.27)points in the control group(t=18.63,P<0.001).The incidence of postoperative salivary fistula in the observation group was 2.1%(1/47),which was significantly lower than 17.0%(8/47)in the control group(χ^(2)=4.42,P=0.035).Conclusion Simple prolongation of negative pressure drainage time can achieve full drainage,improve the quality of life of patients after parotidectomy and reduce the occurrence of postoperative salivary fistula,which is worthy of clinical promotion.

关 键 词：腮腺疾病 腮腺肿瘤 手术后医护 引流术 时间因素 疼痛 涎腺瘘 

分 类 号：R739.87[医药卫生—肿瘤]