负压引流方式的改进与腮腺手术后美容效果

Suction drain’s improvement and post-parotidectomy aesthetic effect

目的:探讨负压引流开口选择在腮腺手术的应用,分析与腮腺术后涎瘘相关的临床因素。方法:将临床上需要手术治疗的腮腺疾病患者154例随机分为传统方法(橡皮条引流)组(52例)、负压引流低位颈部开口组(83例)与负压引流发际内开口组(19例),记录术后涎瘘发生及伤口愈合情况。结果:负压引流低位颈部开口组的涎瘘发生率10.84%,负压引流发际内开口组的涎瘘发生率10.52%低于传统方法组17.31%,但传统方法组(橡皮引流条引流)与负压引流颈部开口组间差异无显著性(P>0.05),负压引流低位颈部开口组与负压引流发际内开口组差异无显著性(P>0.05)。结论:负压引流发际内开口结合短暂的加压包扎能取代传统方法,具有临床应用价值。

Objective To evaluate the application of suction drain＇open end in the scalp for parotidectomy and analyze the factors correlated with salivary fistula. Methods 154 patients with parotid diseases were divided into three groups at random. The first group used rubber strip and two weeks＇pressure dressing in parotid region. The second group used suction drain with its open end in the neck and 2-3days＇pressure dressing,and the last one with its scalp open end. The result was analyzed by Chi-square test. Results The rate of salivary fistula of the second group （10.84 %） and the third group （10.52%） were lower than the first group（17.31%）,but no statistical significant difference between the groups could be found （P〉0. 05）. Conclusion Suction drain with transient pressure dressing can substitute for rubber strip with two weeks＇pressure dressing and prevent salivary fistula. Considering of crcatrix ,the suction drain with its scalp＇s open end can also substitute for the one with the neck＇s open end,and there＇s no difference between them.