【摘要】 目的观察颌面部间隙感染患者应用微创切口与负压引流联合治疗的效果及预后。方法临床资料采集该院口腔科于2016年12月—2018年12月诊治的108例颌面部间隙感染患者,按不同治疗方案分两组,54例每组,对照组行传统切开引流术治疗,观察组行微创切口与负压引流联合治疗,比较两组疗效、临床指标及并发症。结果观察组治疗总有效率94.44%相较于对照组81.48%更高(χ~2=4.285 0,P<0.05);观察组引流量(70.51±2.83)mL相较对照组少,瘢痕长度(2.31±0.33)cm、瘢痕宽度(0.43±0.02)cm、创面愈合时间(7.23±1.16)d均相较于对照组短(P<0.05,t=9.743 4,t=24.688 0,t=28.297 9,t=16.467 9);观察组并发症几率5.56%相较于对照组20.37%低(χ~2=5.252 3,P<0.05)。结论微创切口与负压引流联合用于颌面部间隙感染治疗的效果显著,能提高疗效,加快创面愈合,瘢痕小,并降低并发症几率,预后良好。更多还原

【Abstract】 Objective To observe the effect and prognosis of minimally invasive incision combined with negative pressure drainage in patients with maxillofacial infection. Methods Clinical data were collected from 108 patients with maxillofacial space infection diag-nosed in our hospital from December 2016 to December 2018. According to different treatment options, these patients were divided into 2 groups with 54 cases each. The control group underwent traditional incision and drainage treatment, the observation group un-derwent minimally invasive incision combined with negative pressure drainage, comparing the efficacy, clinical indicators and compli-cations of the two groups. Results The total effective rate of observation group was 94.44% higher than that of the control group(81.48%)( χ~2=4.285 0,P<0.05). The drainage volume of the observation group(70.51±2.83)mL was less than that of the control group,and the scar length was 2.31±0.33 cm. The width of scar width(0.43±0.02) cm, wound healing time(7.23±1.16) d was shorter than that of the control group(t=9.743 4, t=24.688 0, t=28.297 9, t=16.467 9,P<0.05); The incidence of complications in the observation group was 5.56% compared with 20.37% in the control group(χ~2=5.252 3,P<0.05). Conclusion The combination of minimally invasive incision and negative pressure drainage for the treatment of maxillofacial space infection has a significant effect, which can improve the curative effect, accelerate wound healing, reduce scar, reduce the chance of complications and prognosis.更多还原