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负压封闭引流辅助灌洗治疗口腔颌颈部多间隙重度感染的疗效。

Therapeutic efficacy of vacuum sealing drainage-assisted irrigation in patients with severe multiple-space infections in the oral, maxillofacial, and cervical regions.

机构信息

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.

School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China.

出版信息

J Craniomaxillofac Surg. 2019 May;47(5):837-841. doi: 10.1016/j.jcms.2019.01.031. Epub 2019 Feb 1.

Abstract

OBJECTIVE

We compared the clinical efficacy between the vacuum sealing drainage (VSD)-assisted irrigation technique and traditional abscess incision and drainage technique in the treatment of severe multiple-space infections in the oral, maxillofacial, and cervical regions.

METHODS

Data of 73 patients with severe oral, maxillofacial, and cervical infections, who were admitted to the Oral and Maxillofacial Surgery Department at the First Affiliated Hospital of Fujian Medical University between June 2014 and May 2017, were retrospectively collected. Patients were divided into two groups based on the treatments. The cure duration, incision length, physician workload (frequency of dressing-change), and treatment costs were compared between the two groups.

RESULTS

Of 73 patients, 38 were treated with the VSD-assisted irrigation technique, and 35 with the traditional technique. All patients were cured following treatment. The cure duration, surgical scar length, and physician workload were smaller for the former group than for the latter group (p < 0.05). There was no difference in the treatment costs between the two groups (p > 0.05).

CONCLUSION

VSD-assisted irrigation technique used in the treatment of severe multiple-space infection in the oral and maxillofacial cervical regions shows favorable clinical effects and enables short treatment duration, lesser pain-experience, and high clinical and therapeutic efficacy.

摘要

目的

比较负压封闭引流(VSD)辅助冲洗技术与传统脓肿切开引流技术在治疗口腔颌颈部严重多间隙感染中的临床疗效。

方法

回顾性收集 2014 年 6 月至 2017 年 5 月福建医科大学附属第一医院口腔颌面外科收治的 73 例口腔颌颈部严重感染患者的临床资料。根据治疗方法将患者分为两组,比较两组患者的治愈时间、切口长度、术者工作量(换药次数)、治疗费用。

结果

73 例患者中,38 例行 VSD 辅助冲洗技术治疗,35 例行传统脓肿切开引流技术治疗。所有患者均治愈。VSD 辅助冲洗技术组的治愈时间、手术瘢痕长度和术者工作量均小于传统脓肿切开引流技术组(p<0.05),但两组患者的治疗费用比较,差异无统计学意义(p>0.05)。

结论

VSD 辅助冲洗技术治疗口腔颌颈部严重多间隙感染疗效确切,可缩短治疗时间,减轻患者痛苦,提高临床疗效。

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