单片截骨术后感染的危险因素。
Risk Factors for Post-operative Infection Following Single Piece Osteotomy.
作者信息
Abdul Wahab P U, Senthil Nathan P, Madhulaxmi M, Muthusekhar M R, Loong Soh Chen, Abhinav Rajendra Prabhu
机构信息
Department of Oral and Maxillofacial Surgery, Saveetha Dental College, No. 162, Poonamallee High Road, Velappanchavadi, Chennai, 600077 India.
出版信息
J Maxillofac Oral Surg. 2017 Sep;16(3):328-332. doi: 10.1007/s12663-016-0983-6. Epub 2016 Dec 1.
OBJECTIVE
The aim of this retrospective study was to identify the significant risk factors that contribute towards postoperative infection in patients recovering from orthognathic surgery.
METHODS
Retrospective records of 522 patients who underwent orthognathic surgery over 9 year period were evaluated for postoperative infection within 3 months of surgery and after 3 months of surgery. The variables of interest included age, gender, habits like smoking and alcohol consumption and incidence of postoperative infection.
RESULTS
The overall infection rate was 4.60%. Patients who underwent bilateral sagittal split osteotomy to advance the mandible had an infection rate of 10.4%. Statistically significant predictor variables ( < 0.05) included patients who had the smoking habit, and those that received bone grafts in both the time periods.
CONCLUSION
In conclusion, the occurrence of infection after orthognathic surgery is influenced by multiple factors, among which are the type of osteotomy, smoking habit and bone grafting procedures.
目的
本回顾性研究的目的是确定正颌手术康复患者术后感染的重要风险因素。
方法
对522例在9年期间接受正颌手术的患者的回顾性记录进行评估，观察术后3个月内及术后3个月后的感染情况。感兴趣的变量包括年龄、性别、吸烟和饮酒等习惯以及术后感染发生率。
结果
总体感染率为4.60%。接受双侧矢状劈开截骨术前移下颌骨的患者感染率为10.4%。具有统计学意义的预测变量（P<0.05）包括有吸烟习惯的患者以及在两个时间段均接受骨移植的患者。
结论
总之，正颌手术后感染的发生受多种因素影响，其中包括截骨类型、吸烟习惯和骨移植手术。
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