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使用主动引流的门诊上颌骨次全切除术。手术安全性及患者满意度

Outpatient Submaxillectomy Using Active Drains. Safety of the Procedure and Patient Satisfaction.

作者信息

García-de Marcos José-Antonio, Del Amo-Fernández de Velasco Alvaro, Fernández Alba-Luengo Javier

机构信息

Department of Oral and Maxillofacial Surgery, Guadalajara University Hospital, C/Donantes de Sangre, s/n, Guadalajara, Spain.

出版信息

J Maxillofac Oral Surg. 2021 Nov 26:1-5. doi: 10.1007/s12663-021-01672-4.

DOI:10.1007/s12663-021-01672-4
PMID:34866839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8625668/
Abstract

Surgical interventions on an outpatient basis are defined as those procedures in which the patient is discharged the same day of the surgery after monitoring the subject during the immediate postoperative period. Submaxillectomies have conventionally been performed on an inpatient basis, and hospital stay was determined by the drain removal. This study aims to establish both safety and patient satisfaction following outpatient submaxillectomies using active drains. Fifteen patients between March 2016 and March 2020 underwent submaxillectomies using active drains in an outpatient basis. No patient had to be readmitted, and there were no complications that could be associated with the outpatient basis of this procedure, showing the safety of this surgical regimen. Patient satisfaction degree was high, with 86.7% of the patients declaring low or no pain as well as appropriate hospital stay. Most of the patients stated that they would accept the surgery in an outpatient basis once again. The performance of an outpatient submandibular gland removal is a safe and well-accepted procedure by the patient.

摘要

门诊手术干预被定义为那些在术后即刻对患者进行监测后,患者于手术当天出院的手术。传统上,下颌骨部分切除术是在住院的基础上进行的,住院时间由引流管拔除时间决定。本研究旨在确定使用主动引流管进行门诊下颌骨部分切除术后的安全性和患者满意度。2016年3月至2020年3月期间,15例患者在门诊接受了使用主动引流管的下颌骨部分切除术。没有患者需要再次入院,并且没有与该手术的门诊方式相关的并发症,表明了这种手术方案的安全性。患者满意度较高,86.7%的患者表示疼痛程度低或无疼痛,且住院时间合适。大多数患者表示他们会再次接受门诊手术。门诊下颌下腺切除术是一种安全且患者易于接受的手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b41/8625668/4d52d588f006/12663_2021_1672_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b41/8625668/c0f84bfe17d8/12663_2021_1672_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b41/8625668/4d52d588f006/12663_2021_1672_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b41/8625668/c0f84bfe17d8/12663_2021_1672_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b41/8625668/4d52d588f006/12663_2021_1672_Fig2_HTML.jpg

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本文引用的文献

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Outpatient (same-day discharge) versus inpatient parotidectomy: A systematic review and meta-analysis.门诊(当日出院)与住院腮腺切除术:系统评价和荟萃分析。
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