高负压引流瓶在颌面部肿物切除术后应用的回顾性研究  

Retrospective Study on Application of High-negative Pressure Drainage Bottle in Postoperative Removal of Maxillofacial Tumors

作　　者：胡泽龙 李培博 谢雨翀 李冉 李冰炎 李锐[1] HU Zelong;LI Peibo;XIE Yuchong;LI Ran;LI Bingyan;LI Rui(Department of Oral and Maxillofacial Surgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052,China;School of Public Health,Jinzhou Medical University,Jinzhou 121001,China)

机构地区：[1]郑州大学第一附属医院口腔颌面外科,河南郑州450052 [2]锦州医科大学公共卫生学院,辽宁锦州121001

出　　处：《口腔医学研究》2024年第9期793-796,共4页Journal of Oral Science Research

基　　金：国家自然科学基金(编号:82301061);河南省自然科学基金(编号:222300420569);河南省医学科技攻关项目(编号:SBGJ202002073)。

摘　　要：目的:本研究旨在对实施颌面部肿物切除术后患者使用高负压引流瓶或使用低负压引流鼓的并发症及经济效益进行回顾性分析。方法:回顾性分析了2021年12月1日~2022年5月31日就诊的颌面部肿物患者。根据治疗情况将123例患者分为高负压伤口治疗(high pressure negative pressure wound therapy,HP-NPWT)组(≤-15 kPa,n=79)和低负压伤口治疗(low pressure negative pressure wound therapy,LP-NPWT)组(≥5.2 kPa,n=44)。并分析了术后并发症、住院天数、手术及治疗费用以及临床结局数据。结果:44例低负压组患者中17例伤口感染患者,伤口感染率为38.64%;79例高负压引流组患者中3位伤口感染患者,伤口感染率为3.8%,差异具有统计学意义(P<0.001)。而在皮瓣移植中低负压组皮瓣坏死发生率为9.09%,而高负压组没有出现皮瓣坏死的情况,差异具有统计学意义(P<0.05)。结论:患者在颌面部肿物切除术后使用高负压吸引引流的并发症发生率较低负压吸引引流显著降低。Objective:To retrospectively analyze the complications and economic benefits of using high-negative pressure drainage bottles versus low-negative pressure drainage drums in patients undergoing maxillofacial tumor resection.Methods:A retrospective analysis was conducted on patients with maxillofacial tumors between December 1,2021,and May 31,2022.Based on the treatment received,123 patients were divided into two groups:the high pressure negative pressure wound therapy(HP-NPWT)group(≤-15 kPa,n=79)and the low pressure negative pressure wound therapy(LP-NPWT)group(≥5.2 kPa,n=44).Clinical outcome data,including postoperative complications,length of hospital stay,and surgical and treatment costs,were analyzed.Results:Among 44 patients in the low-pressure group,17 patients had wound infections,resulting in a wound infection rate of 38.64%.In contrast,among 79 patients in the high-pressure drainage group,only 3 patients had infections,yielding a wound infection rate of 3.8%(P<0.001).Regarding flap transplantation,the incidence of flap necrosis in the low-pressure group was 9.09%,while no cases of flap necrosis occurred in the high-pressure group(P<0.05).Conclusion:The incidence of complications in patients undergoing maxillofacial tumor resection surgery with high-negative pressure suction drainage is significantly lower compared to low-negative pressure suction drainage.

关 键 词：颌面部肿物 负压伤口疗法 负压水平 手术预后 

分 类 号：R739.8[医药卫生—肿瘤]