封闭负压引流技术治疗口腔颌面间隙感染的临床应用
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摘要
目的评价封闭负压引流(VSD)技术持续负压引流并生理盐水持续冲洗治疗口腔颌面间隙感染的疗效。方法对116例颌面间隙感染病例进行回顾性分析,收集患者临床资料,比较常规手术切开引流(传统治疗组,58例)和手术切开VSD(VSD组,58例)这2种治疗方法的治疗效果。结果 VSD组患者的住院时间、白细胞计数、瘢痕长度、换药次数、疼痛程度均低于传统治疗组,张口改善度优于传统治疗组(P<0.05)。结论封闭负压引流技术是治疗口腔颌面间隙感染的更为有效的一种方法。
Objective This study aims to observe the efficacy of vacuum sealing drainage(VSD) by continuous negative pressure drainage and saline irrigation in the treatment of oral and maxillofacial space infection.Methods Retrospective analysis was conducted on 116 cases of maxillofacial space infection,and clinical data were collected to compare the therapeutic effects of routine incision with drainage treatment(traditional treatment group,58 cases) and VSD treatment(VSD group,58 cases).Results The length of hospital stay,white blood cell count,scar length,frequency of dressing change,and pain degree of patients in the VSD group were all lower than those in the traditional treatment group.Moreover,the improvement degree of mouth opening in the VSD groups was better than that in the traditional treatment group(P<0.05).Conclusion VSD is a more effective method for the treatment of oral and maxillofacial space infection.
Objective This study aims to observe the efficacy of vacuum sealing drainage(VSD) by continuous negative pressure drainage and saline irrigation in the treatment of oral and maxillofacial space infection.Methods Retrospective analysis was conducted on 116 cases of maxillofacial space infection,and clinical data were collected to compare the therapeutic effects of routine incision with drainage treatment(traditional treatment group,58 cases) and VSD treatment(VSD group,58 cases).Results The length of hospital stay,white blood cell count,scar length,frequency of dressing change,and pain degree of patients in the VSD group were all lower than those in the traditional treatment group.Moreover,the improvement degree of mouth opening in the VSD groups was better than that in the traditional treatment group(P<0.05).Conclusion VSD is a more effective method for the treatment of oral and maxillofacial space infection.
引文
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[2]Sato FR,Hajala FA,Freire Filho FW,et al.Eight-year retrospective study of odontogenic origin infections in a postgraduation program on oral and maxillofacial surgery[J].JOral Maxillofac Surg,2009,67(5):1092-1097.
[3]张志愿.口腔颌面外科学[M].7版.北京:人民卫生出版社,2012:177-184.Zhang ZY.Oral and maxillofacial surgery[M].7th ed.Beijing:People’s Medical Publishing House,2012:177-184.
[4]章功杰,陈松军,郑珉,等.持续负压引流术治疗严重颌面颈部间隙感染的探讨[J].华西口腔医学杂志,2015,33(4):393-396.Zhang GJ,Chen SJ,Zheng M,et al.Sustained negative pressure drainage for treatment of severe maxillofacial and neck space infection[J].West Chin J Stomatol,2015,33(4):393-396.
[5]Fleischmann W,Strecker W,Bombelli M,et al.Vacuum sealing as treatment of soft tissue damage in open fractures[J].Unfallchirurg,1993,96(9):488-492.
[6]齐东元,张锐,赵元龙,等.负压封闭引流技术在治疗严重颌面颈部感染中的应用[J].实用口腔医学杂志,2017,33(6):824-826.Qi DY,Zhang R,Zhao YL,et al.Application of vacuum sealing drainage in the treatment of severe maxillofacial and neck space infection[J].J Pract Stomatol,2017,33(6):824-826.
[7]龚宗容,舒敏,万朝敏,等.Wong-Baker面部表情疼痛量表对0至5岁急性发热儿童舒适度评估的效果[J].中国循证儿科杂志,2015,10(6):401-404.Gong ZR,Shu M,Wan CM,et al.Validation of Wong-Baker FACES Rating Scale in comfort assessment among children with acute fever and aged 0-5 years[J].Chin J Evid Based Pediatr,2015,10(6):401-404.
[8]Huang TT,Tseng FY,Liu TC,et al.Deep neck infection in diabetic patients:comparison of clinical picture and outcomes with nondiabetic patients[J].Otolaryngol Head Neck Surg,2005,132(6):943-947.
[9]Huang TT,Tseng FY,Yeh TH,et al.Factors affecting the bacteriology of deep neck infection:a retrospective study of128 patients[J].Acta Otolaryngol,2006,126(4):396-401.
[10]Lee JK,Kim HD,Lim SC.Predisposing factors of complicated deep neck infection:an analysis of 158 cases[J].Yonsei Med J,2007,48(1):55-62.
[11]Yamaoka M,Ono Y,Takahashi M,et al.Acute inflammation in horizontal incompletely impacted third molar with radiolucency in the elderly[J].Clin Interv Aging,2009,4:337-342.
[12]Moghissi ES,Hirsch IB.Hospital management of diabetes[J].Endocrinol Metab Clin North Am,2005,34(1):99-116.
[13]Chen SZ,Li J,Li XY,et al.Effects of vacuum-assisted closure on wound microcirculation:an experimental study[J].Asian J Surg,2005,28(3):211-217.
[14]Petzina R,Gustafsson L,Mokhtari A,et al.Effect of vacuumassisted closure on blood flow in the peristernal thoracic wall after internal mammary artery harvesting[J].Eur J Cardiothorac Surg,2006,30(1):85-89.
[15]Kang SK,Lee S,Oh HK,et al.Clinical features of deep neck infections and predisposing factors for mediastinal extension[J].Korean J Thorac Cardiovasc Surg,2012,45(3):171-176.
[16]孟海峰,李鹏冲.口腔颌面部多间隙感染65例临床分析[J].口腔颌面外科杂志,2004,14(3):252-253.Meng HF,Li PC.Analysis of clinical characters in 65 patients with oral and maxillofacial multi-space infection[J].J Oral Maxillofac Surg,2004,14(3):252-253.
[2]Sato FR,Hajala FA,Freire Filho FW,et al.Eight-year retrospective study of odontogenic origin infections in a postgraduation program on oral and maxillofacial surgery[J].JOral Maxillofac Surg,2009,67(5):1092-1097.
[3]张志愿.口腔颌面外科学[M].7版.北京:人民卫生出版社,2012:177-184.Zhang ZY.Oral and maxillofacial surgery[M].7th ed.Beijing:People’s Medical Publishing House,2012:177-184.
[4]章功杰,陈松军,郑珉,等.持续负压引流术治疗严重颌面颈部间隙感染的探讨[J].华西口腔医学杂志,2015,33(4):393-396.Zhang GJ,Chen SJ,Zheng M,et al.Sustained negative pressure drainage for treatment of severe maxillofacial and neck space infection[J].West Chin J Stomatol,2015,33(4):393-396.
[5]Fleischmann W,Strecker W,Bombelli M,et al.Vacuum sealing as treatment of soft tissue damage in open fractures[J].Unfallchirurg,1993,96(9):488-492.
[6]齐东元,张锐,赵元龙,等.负压封闭引流技术在治疗严重颌面颈部感染中的应用[J].实用口腔医学杂志,2017,33(6):824-826.Qi DY,Zhang R,Zhao YL,et al.Application of vacuum sealing drainage in the treatment of severe maxillofacial and neck space infection[J].J Pract Stomatol,2017,33(6):824-826.
[7]龚宗容,舒敏,万朝敏,等.Wong-Baker面部表情疼痛量表对0至5岁急性发热儿童舒适度评估的效果[J].中国循证儿科杂志,2015,10(6):401-404.Gong ZR,Shu M,Wan CM,et al.Validation of Wong-Baker FACES Rating Scale in comfort assessment among children with acute fever and aged 0-5 years[J].Chin J Evid Based Pediatr,2015,10(6):401-404.
[8]Huang TT,Tseng FY,Liu TC,et al.Deep neck infection in diabetic patients:comparison of clinical picture and outcomes with nondiabetic patients[J].Otolaryngol Head Neck Surg,2005,132(6):943-947.
[9]Huang TT,Tseng FY,Yeh TH,et al.Factors affecting the bacteriology of deep neck infection:a retrospective study of128 patients[J].Acta Otolaryngol,2006,126(4):396-401.
[10]Lee JK,Kim HD,Lim SC.Predisposing factors of complicated deep neck infection:an analysis of 158 cases[J].Yonsei Med J,2007,48(1):55-62.
[11]Yamaoka M,Ono Y,Takahashi M,et al.Acute inflammation in horizontal incompletely impacted third molar with radiolucency in the elderly[J].Clin Interv Aging,2009,4:337-342.
[12]Moghissi ES,Hirsch IB.Hospital management of diabetes[J].Endocrinol Metab Clin North Am,2005,34(1):99-116.
[13]Chen SZ,Li J,Li XY,et al.Effects of vacuum-assisted closure on wound microcirculation:an experimental study[J].Asian J Surg,2005,28(3):211-217.
[14]Petzina R,Gustafsson L,Mokhtari A,et al.Effect of vacuumassisted closure on blood flow in the peristernal thoracic wall after internal mammary artery harvesting[J].Eur J Cardiothorac Surg,2006,30(1):85-89.
[15]Kang SK,Lee S,Oh HK,et al.Clinical features of deep neck infections and predisposing factors for mediastinal extension[J].Korean J Thorac Cardiovasc Surg,2012,45(3):171-176.
[16]孟海峰,李鹏冲.口腔颌面部多间隙感染65例临床分析[J].口腔颌面外科杂志,2004,14(3):252-253.Meng HF,Li PC.Analysis of clinical characters in 65 patients with oral and maxillofacial multi-space infection[J].J Oral Maxillofac Surg,2004,14(3):252-253.