105例口腔颌面部间隙感染手术治疗回顾性分析
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摘要
目的:探讨口腔颌面部间隙感染手术治疗的特点。方法:对所有105例患者的感染间隙分布、手术切口的选择、冲洗管的使用情况、患者住院日数等资料进行系统分析。结果:口腔颌面部间隙感下颌下间隙70例(66.67%)最易受累;手术切口最多选择的是颌下切口80例(76.19%);术后有75例(71.43%)使用冲洗管。使用冲洗管的患者的平均住院日为(9.41±3.52)d,未使用冲洗管的患者的平均住院日为(12.89±4.49)d。结论:及时有效的切开引流对治疗口腔颌面部间隙感染至关重要,同时加强术后管理,积极冲洗换药对及早治愈意义重大。
Objective: To explore the characteristics of the surgical treatment of maxillofacial space infection( MSI).Methods: Retrospective research was conducted including the indexes consisting of distribution of infected space,selection of surgical incision,usage of flushing pipe and hospital stay in all 105 patients. Results: The most commonly involved space was submandibular space with 70 cases( 66. 67%). The most surgical incision was submandibular incision with 80 cases( 76. 19%). The patients who were treated via flushing pipe after surgery were 75 cases( 71. 43%). The average hospital stay of the patients using flushing pipe were( 9. 41 ± 3. 52) days. The average hospital stay of the patients who did not use the flushing pipe were( 12. 89 ± 4. 49) days. Conclusion: Timely and effective surgery is essential for the treatment of MSI. It is of great significance for the treatment of MSI to strengthen post-operative management,active irrigation and cleaning the wound.
Objective: To explore the characteristics of the surgical treatment of maxillofacial space infection( MSI).Methods: Retrospective research was conducted including the indexes consisting of distribution of infected space,selection of surgical incision,usage of flushing pipe and hospital stay in all 105 patients. Results: The most commonly involved space was submandibular space with 70 cases( 66. 67%). The most surgical incision was submandibular incision with 80 cases( 76. 19%). The patients who were treated via flushing pipe after surgery were 75 cases( 71. 43%). The average hospital stay of the patients using flushing pipe were( 9. 41 ± 3. 52) days. The average hospital stay of the patients who did not use the flushing pipe were( 12. 89 ± 4. 49) days. Conclusion: Timely and effective surgery is essential for the treatment of MSI. It is of great significance for the treatment of MSI to strengthen post-operative management,active irrigation and cleaning the wound.
引文
[1]Gupta M,Singh V.A retrospective study of 256 patients with space infection[J].J Maxillofac Oral Surg,2010,9(1):35-37.
[2]郑先雨,程继光.口腔颌面部间隙感染治疗效果的回顾性分析[J].安徽医药,2015,19(10):1966-1968.
[3]胡晨,李建卫,袁晓燕,等.463例口腔颌面部间隙感染临床病例的回顾性研究[J].现代生物医学进展,2015,15(26):5047-5052.
[4]Han X,An J,Zhang Y,et al.Risk factors for life-threatening complications of maxillofacial space infection[J].J Craniofac Surg,2016,27(2):385-390.
[5]郭治辰,龚忠诚,林兆全,等.新疆地区133例口腔颌面部间隙感染临床分析[J].中国口腔颌面外科杂志,2016,14(01):28-32.
[6]Mathew GC,Ranganathan L K,Gandhi S,et al.Odontogenic maxillofacial space infections at a tertiary care center in North India:a five-year retrospective study[J].Int J Infect Dis,2012,16(4):e296-e302.
[7]史晓钰,徐明哲.颌面部软组织气性坏疽1例[J].临床军医杂志,2016,44(09):988.
[8]孟庆慧.口腔颌面部间隙感染的临床特征分析与治疗探讨[J].中国医药指南,2016,14(16):179-180.
[9]陈书军,韩小宪,陈宇轩,等.重症颈深部多间隙感染CT诊断的临床意义[J].口腔医学,2014,34(2):110-113.
[10]范玉丽,曹征,吴莘,等.48例重症口腔颌面部多间隙感染临床分析[J].中国口腔颌面外科杂志,2015,13(3):249-252.
[11]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.
[12]黄立,林耿冰,邱宇,等.重症口腔颌面部多间隙感染24例临床分析[J].海峡科学,2007(3):90-91.
[13]陈延军,邢秀丽,李雪华,等.开放骨折创面不同剂量冲洗液冲洗后局部细菌量与感染发生的关系[J].中华医院感染学杂志,2016,26(13):3049-3051.
[14]童国勇,戈春城,王曦.口腔颌面部间隙感染疗效的影响因素分析[J].临床口腔医学杂志,2016,32(6):366-368.
[15]乔波,张浚睿,陆斌,等.口底重症多间隙感染41例患者诊治的回顾性分析[J].实用口腔医学杂志,2015,31(5):682-685.
[16]董青山,郭家平,李志进,等.颌面颈部深部化脓性感染的微创负压引流方法研究[J].临床口腔医学杂志,2014,30(9):554-556.
[17]唐圣斌,雷邓,李玉峰.重症口腔颌面部多间隙感染的临床干预探析[J].中国医学工程,2015,23(5):77-79.
[18]丁明超,Ujjwal Koirala,王维戚,等.重度颌面颈部间隙感染的治疗---32例患者回顾性分析[J].实用口腔医学杂志,2014,30(05):684-688.
[19]李丽.口腔颌面部多间隙感染12例临床分析[J].基层医学论坛,2009,13(19):599-600.
[20]李勇,孙黎波,周航宇,等.糖尿病患者口腔颌面部多间隙感染的临床诊治研究[J].重庆医学,2017,46(5):670-673.
[21]刘志勇.226例牙源性口腔颌面部间隙感染的临床治疗体会[J].中外妇儿健康,2011,19(6):223.
[2]郑先雨,程继光.口腔颌面部间隙感染治疗效果的回顾性分析[J].安徽医药,2015,19(10):1966-1968.
[3]胡晨,李建卫,袁晓燕,等.463例口腔颌面部间隙感染临床病例的回顾性研究[J].现代生物医学进展,2015,15(26):5047-5052.
[4]Han X,An J,Zhang Y,et al.Risk factors for life-threatening complications of maxillofacial space infection[J].J Craniofac Surg,2016,27(2):385-390.
[5]郭治辰,龚忠诚,林兆全,等.新疆地区133例口腔颌面部间隙感染临床分析[J].中国口腔颌面外科杂志,2016,14(01):28-32.
[6]Mathew GC,Ranganathan L K,Gandhi S,et al.Odontogenic maxillofacial space infections at a tertiary care center in North India:a five-year retrospective study[J].Int J Infect Dis,2012,16(4):e296-e302.
[7]史晓钰,徐明哲.颌面部软组织气性坏疽1例[J].临床军医杂志,2016,44(09):988.
[8]孟庆慧.口腔颌面部间隙感染的临床特征分析与治疗探讨[J].中国医药指南,2016,14(16):179-180.
[9]陈书军,韩小宪,陈宇轩,等.重症颈深部多间隙感染CT诊断的临床意义[J].口腔医学,2014,34(2):110-113.
[10]范玉丽,曹征,吴莘,等.48例重症口腔颌面部多间隙感染临床分析[J].中国口腔颌面外科杂志,2015,13(3):249-252.
[11]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.
[12]黄立,林耿冰,邱宇,等.重症口腔颌面部多间隙感染24例临床分析[J].海峡科学,2007(3):90-91.
[13]陈延军,邢秀丽,李雪华,等.开放骨折创面不同剂量冲洗液冲洗后局部细菌量与感染发生的关系[J].中华医院感染学杂志,2016,26(13):3049-3051.
[14]童国勇,戈春城,王曦.口腔颌面部间隙感染疗效的影响因素分析[J].临床口腔医学杂志,2016,32(6):366-368.
[15]乔波,张浚睿,陆斌,等.口底重症多间隙感染41例患者诊治的回顾性分析[J].实用口腔医学杂志,2015,31(5):682-685.
[16]董青山,郭家平,李志进,等.颌面颈部深部化脓性感染的微创负压引流方法研究[J].临床口腔医学杂志,2014,30(9):554-556.
[17]唐圣斌,雷邓,李玉峰.重症口腔颌面部多间隙感染的临床干预探析[J].中国医学工程,2015,23(5):77-79.
[18]丁明超,Ujjwal Koirala,王维戚,等.重度颌面颈部间隙感染的治疗---32例患者回顾性分析[J].实用口腔医学杂志,2014,30(05):684-688.
[19]李丽.口腔颌面部多间隙感染12例临床分析[J].基层医学论坛,2009,13(19):599-600.
[20]李勇,孙黎波,周航宇,等.糖尿病患者口腔颌面部多间隙感染的临床诊治研究[J].重庆医学,2017,46(5):670-673.
[21]刘志勇.226例牙源性口腔颌面部间隙感染的临床治疗体会[J].中外妇儿健康,2011,19(6):223.