中国实用口腔科杂志

中国实用口腔科杂志 ›› 2012, Vol. 5 ›› Issue (03): 173-174.

• 论著 • 上一篇    下一篇

加压包扎时间对腮腺术后涎瘘发生的影响研究

  

  1. 广东省口腔医院  南方医科大学附属口腔医院口腔颌面外科，广州  510280
  • 收稿日期:2011-11-20 修回日期:2012-01-19 出版日期:2012-03-15 发布日期:2012-04-25

  • Received:2011-11-20 Revised:2012-01-19 Online:2012-03-15 Published:2012-04-25

摘要：

目的    探讨腮腺术后适合的加压包扎时间。 方法    选择2007年1月至2011年10月广东省口腔医院口腔颌面外科手术治疗单侧腮腺疾病患者108 例，按术后加压包扎时间分为A、B、C、D组，分别在拔除负压引流管后加压包扎4、6、8、10 d，每组27例。比较各组术后涎瘘发生率。结果    A组中发生涎瘘8例（Ⅰ级6例、Ⅱ级2例），发生率为29.6%；B组中发生涎瘘1例（Ⅰ级），发生率为3.7%；C、D组中均未发生涎瘘。A、B组涎瘘发生率差异有统计学意义（χ2 = 4.80，P < 0.01）。结论    腮腺术后加压包扎6 d，可有效预防术后涎瘘，减少患者长时间包扎的痛苦。

关键词: 腮腺手术, 涎瘘, 加压包扎时间

Abstract:

Objective    To evaluate the influence of different time of pressure bandage on the parotid salivary fistula occurring after parotidectomy. Methods    A total of 108 patients who received parotid surgery were randomly divided into 4 groups：4，6，8 and 10 days of pressure bandage were seperatively put on them after pulling off the negative pressure drainage. The incidence of parotid salivery fistula was analyzed. SPSS13.0 software package was used for Chi-square Test. Results    The incidence of parotid salivary fistula on 6，8 and 10 days of pressure bandage groups was low，which was significant compared with the group on 4 days of pressure bandage. Conclusion    Six days of pressure bandage after parotidectomy can effectively prevent the occurrence of postoperative salivary fistula，and release the pain of patients with long time of pressure bandage.

Key words: parotid surgery；salivary fistula；pressure bandage time