Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Craniofac Surg. 2022 Sep 1;33(6):e604-e606. doi: 10.1097/SCS.0000000000008682. Epub 2022 Jul 26.
This study aimed to explore and analyze the factors influencing the drainage volume after comprehensive rhinoplasty. The clinical data of 102 patients who underwent comprehensive rhinoplasty at Shanghai Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine from August 2019 to August 2021 were retrospectively analyzed. The effects of age, sex, body mass index, whether an osteotomy was performed, and whether a nasal septum flap was obtained on the indwelling time of the drainage tube after the operation were analyzed by single factor analysis and multiple logistic regression analysis. Age, body mass index, whether it was a primary rhinoplasty, whether an osteotomy was performed, and whether a nasal septum flap was obtained were the influencing factors for drainage time after augmentation rhinoplasty ( P <0.05). Sex had little effect on the drainage time after comprehensive rhinoplasty ( P >0.05). Body mass index, whether an osteotomy was performed and whether a nasal septum flap was obtained were the independent influencing factors for the postoperative drainage time ( P <0.05). For patients with multiple independent influencing factors, individualized management during the perioperative period should be promoted, and reasonable treatment strategies should be formulated, so as to reduce the indwelling time of the drainage tube after the operation.
本研究旨在探讨和分析综合鼻整形术后引流量的影响因素。回顾性分析 2019 年 8 月至 2021 年 8 月在上海交通大学医学院附属第九人民医院行综合鼻整形术的 102 例患者的临床资料。采用单因素分析和多因素 logistic 回归分析，分析年龄、性别、体重指数、是否行截骨术、是否获取鼻中隔瓣对术后引流管留置时间的影响。年龄、体重指数、是否为初次鼻整形术、是否行截骨术以及是否获取鼻中隔瓣是影响隆鼻术后引流时间的影响因素（P<0.05）。性别对综合鼻整形术后引流时间影响较小（P>0.05）。体重指数、是否行截骨术以及是否获取鼻中隔瓣是术后引流时间的独立影响因素（P<0.05）。对于存在多个独立影响因素的患者，应在围手术期进行个体化管理，并制定合理的治疗策略，以减少术后引流管的留置时间。
