壁式中心负压吸引处理头颈部术后口底瘘、舌下瘘的观察

目的总结壁式中心负压吸引处理头颈部手术后口底瘘、舌下瘘各1例的体会。方法运用壁式中心负压100～110mmHg压力促进清创、引流,并加速组织血流灌注和肉芽生长;使用负压吸引前做好创面周围皮肤的保护。结果1例左舌侧缘磷癌并糖尿病患者,手术后第9天伤口感染并舌下瘘,术后第14天开始负压吸引,每天更换敷料一次,28天内瘘口愈合。另1例牙龈癌患者,术后11天出现口底瘘,术后19天开始负压吸引治疗,每天更换敷料一次,5天内瘘口愈合。结论用优托敷料包裹吸痰管头部及侧孔,置入瘘口部位,另一端连接壁式中心负压吸引,能促进口底瘘、舌下瘘愈合。

Objective To summary the experience on wall center for treatment of head and neck suction mouth at the end of 1 case of postoperative fistula,1 case of sublingual fistula. Methods To promote debridement and drainage by center for the use of wall suction 100- 110mmHg, accelerate the growth of granulation tissue blood perfusion, well before the use of vacuum suction to protect the skin around the wound. Resluts One cases of carcinoma of the left lingual margin of phosphorus and diabetes, 9 days after surgical wound infection and sublingual fistula, change dressings once a day beginning 14 days after the first suction, fistula healed within 28 days. The other one cases of gingival cancer, floor of the mouth occurs 11 days after fistula, 19 days after treatment began suction, and change dressings once a day, fistula healed within 5 days. Conclusion With excellent care dressing wrapped head and side-hole suction tube, fistula placement site, connect the other end wall central vacuum aspiration, can promote fistula floor of the mouth, sublingual fistula healing.