西藏日喀则地区口腔颌面间隙感染90例临床分析
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摘要
目的:探讨西藏日喀则地区口腔颌面间隙感染患者的发病特点。方法:回顾2015年1月—2018年2月在日喀则市人民医院口腔科住院的90例颌面间隙感染患者的病例资料,分析发病年龄、职业、感染原因、好发部位等。结果:90例患者中,儿童、学生及农牧民为好发人群;牙源性感染为首要致病原因,以第一、二恒磨牙为主要病灶牙;单间隙感染71例,占78.89%;多间隙感染19例,占21.11%;下颌下间隙受累最多。结论:日喀则地区口腔颌面间隙感染发病年龄较早,应及早对儿童及父母开展口腔卫生宣教,提高医疗保健意识,并加强基层医疗队伍建设。
PURPOSE: To investigate the incidence and characteristics of oral and maxillofacial infection in patients in Shigatse, Tibet. METHODS: The data of 90 patients with oral and maxillofacial infection who were hospitalized in the Department of Stomatology of Shigatse People's Hospital from January 2015 to February 2018 were reviewed. The age of onset, occupation, pathogen, and predilection sites were analyzed. RESULTS: Among 90 patients, children, students and farmers accounted the most; odontogenic infection was the primary cause of infection, with the first and second permanent molars as the main foci. Seventy-one patients had single space infection, accounting for 78.89%; while 19 patients had multiple space infections, accounting for 21.11%; the submandibular space was involved most commonly.CONCLUSIONS: The age of onset of oral and maxillofacial space infection in Shigatse is younger. It is necessary to enhance oral health education for children and parents, improve medical and health awareness, and strengthen construction of primary medical teams.
PURPOSE: To investigate the incidence and characteristics of oral and maxillofacial infection in patients in Shigatse, Tibet. METHODS: The data of 90 patients with oral and maxillofacial infection who were hospitalized in the Department of Stomatology of Shigatse People's Hospital from January 2015 to February 2018 were reviewed. The age of onset, occupation, pathogen, and predilection sites were analyzed. RESULTS: Among 90 patients, children, students and farmers accounted the most; odontogenic infection was the primary cause of infection, with the first and second permanent molars as the main foci. Seventy-one patients had single space infection, accounting for 78.89%; while 19 patients had multiple space infections, accounting for 21.11%; the submandibular space was involved most commonly.CONCLUSIONS: The age of onset of oral and maxillofacial space infection in Shigatse is younger. It is necessary to enhance oral health education for children and parents, improve medical and health awareness, and strengthen construction of primary medical teams.
引文
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[4] Wong TY. A nationwide survey of deaths from oral and maxillofacial infections:the Taiwanese experience[J]. J Oral Maxillofac Surg, 1999, 57(11):1297-1299.
[5]陈宁安.儿童口腔颌面部间隙感染310例临床分析[J].航空航天医学杂志, 2011, 22(2):173-174.
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[7]韦卫,周志斐,李艳芬,等.高海拔地区颌面部间隙感染147例临床分析[J].西藏科技, 2009, 34(6):38-39.
[8]张赟,谢富强,孙健,等.西北地区颌面部间隙感染65例临床总结[J].口腔颌面外科杂志, 2013, 23(5):374-377.
[9] Zhang C, Tang Y, Zheng M, et al. Maxillofacial space infection experience in West China:a retrospective study of 212 cases[J].Int J Infect Dis, 2010, 14(5):e414-e417.
[10]王向,庞晓燕.颌面部间隙感染165例临床分析[J].实用医技杂志, 2014, 21(2):185-186.
[11]陈旭兵.口腔颌面部间隙感染201例临床资料分析[J].广东牙病防治, 2014, 22(2):86-89.
[12]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.
[13] Brook I, Frazier EH, Gher ME. Aerobic and anaerobic microbiology of periapical abscess[J]. Oral Microbiol Immunol,1991, 6(2):123-125.
[14] Rega AJ, Aziz SR, Ziccardi VB. Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin[J]. J Ora1 Maxillofac Surg, 2006, 64(9):1377-1380.
[15] Bertossi D, Barone A, Iurlaro A, et al. Odontogenic orofacial infections[J]. J Craniofac Surg, 2017, 28(1):197-202.
[2] Stiernberg CM. Deep-neck space infections. Diagnosis and management[J]. Arch Otolaryngol Head Neck Surg, 1986, 112(12):1274-1279.
[3] Barsamian JG, Scheffer RB. Spontaneous pneumothorax:an unusual occurrence in a patient with Ludwig's angina[J]. J Oral Maxillofac Surg, 1987, 45(2):161-168.
[4] Wong TY. A nationwide survey of deaths from oral and maxillofacial infections:the Taiwanese experience[J]. J Oral Maxillofac Surg, 1999, 57(11):1297-1299.
[5]陈宁安.儿童口腔颌面部间隙感染310例临床分析[J].航空航天医学杂志, 2011, 22(2):173-174.
[6]薛明. 379例口腔颌面部间隙感染治疗的临床分析[J].口腔医学, 1999, 19(1):43-44.
[7]韦卫,周志斐,李艳芬,等.高海拔地区颌面部间隙感染147例临床分析[J].西藏科技, 2009, 34(6):38-39.
[8]张赟,谢富强,孙健,等.西北地区颌面部间隙感染65例临床总结[J].口腔颌面外科杂志, 2013, 23(5):374-377.
[9] Zhang C, Tang Y, Zheng M, et al. Maxillofacial space infection experience in West China:a retrospective study of 212 cases[J].Int J Infect Dis, 2010, 14(5):e414-e417.
[10]王向,庞晓燕.颌面部间隙感染165例临床分析[J].实用医技杂志, 2014, 21(2):185-186.
[11]陈旭兵.口腔颌面部间隙感染201例临床资料分析[J].广东牙病防治, 2014, 22(2):86-89.
[12]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.
[13] Brook I, Frazier EH, Gher ME. Aerobic and anaerobic microbiology of periapical abscess[J]. Oral Microbiol Immunol,1991, 6(2):123-125.
[14] Rega AJ, Aziz SR, Ziccardi VB. Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin[J]. J Ora1 Maxillofac Surg, 2006, 64(9):1377-1380.
[15] Bertossi D, Barone A, Iurlaro A, et al. Odontogenic orofacial infections[J]. J Craniofac Surg, 2017, 28(1):197-202.