Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, China.
School of Stomatology, Qingdao University, Qingdao, China.
Oral Dis. 2020 Oct;26(7):1586-1591. doi: 10.1111/odi.13421. Epub 2020 Jul 8.
In this study, the clinical effect of negative pressure drainage-assisted irrigation (NPDI) technique was evaluated in treating maxillofacial space infection (MSI) by comparing with traditional technique.
A prospective study was conducted in 58 patients with MSI. The patients were randomly divided into two groups based on different treatment techniques. Thirty patients receiving NPDI were included in NPDI group, and 28 patients receiving traditional technique were included in traditional group. Case data (gender, age, etiology, concurrent illness, diabetes, involved spaces, preoperative white cell count, airway control method) and clinical effect (postoperative hospital stay, total cost of admission) for the two groups were analyzed.
Patients in both groups were cured clinically. There were no significant differences in gender, age, etiology, concurrent illness, diabetes, involved spaces, preoperative white cell count, and airway control method in NPDI group and traditional group (p > .05). The postoperative hospital stay and the total cost of admission in the NPDI group were significantly lower than the traditional group (p < .001).
Negative pressure drainage-assisted irrigation used in the treatment of MSI can shorten the postoperative hospital stay, reduce the total cost of admission, and show favorably clinical effect. It is a clinically recommended method for MSI.
本研究通过比较负压引流辅助冲洗(NPDI)技术与传统技术,评估 NPDI 技术治疗口腔颌面间隙感染(MSI)的临床效果。
前瞻性研究纳入 58 例 MSI 患者,根据治疗方法的不同分为两组。NPDI 组 30 例患者采用 NPDI 治疗,传统组 28 例患者采用传统方法治疗。分析两组患者的病例资料(性别、年龄、病因、合并症、糖尿病、受累间隙、术前白细胞计数、气道控制方法)和临床疗效(术后住院时间、总住院费用)。
两组患者均达到临床治愈。NPDI 组和传统组患者在性别、年龄、病因、合并症、糖尿病、受累间隙、术前白细胞计数、气道控制方法方面比较,差异无统计学意义(p>0.05)。NPDI 组患者术后住院时间、总住院费用明显低于传统组(p<0.001)。
NPDI 技术用于 MSI 的治疗可缩短术后住院时间,降低总住院费用,临床效果良好,是治疗 MSI 的一种推荐方法。