加压包扎时间与方式对预防腮腺浅叶切除术后涎瘘发生的临床观察

Efficacy of Bandaged on Preventing Salivary Fistula after Parotid Superficial Lobe Resection

目的观察腮腺浅叶切除术后加压包扎时间与方式对预防涎瘘的疗效分析。方法将76例行腮腺浅叶切除术的患者依据术后处理方法的不同分为4组,每组19例,A,B组术后加压包扎6d,分别用传统绷带加压及弹力头帽加压,C,D组术后加压包扎10d,分别用传统绷带及弹力头帽加压。术后随访2个月,观察是否有涎瘘发生。结果 A,B,C,D组之间涎瘘发生率为5.26%,10.53%,5.26%,5.26%,4组之间比较无统计学差异(P>0.05)。结论腮腺浅叶切除术后在相同时间下加压包扎,不同方式之间无明显差别,而延长包扎时间,能减低弹性头套加压包扎有效性,采用弹性头帽包扎有利于患者舒适性。

Objective To observe the efficacy of different bandaged method after parotid superficial lobe resection to prevent sal -ivary fistula analysis .Methods Seventy-six patients underwent parotid superficial lobe resection postoperative treatment based on different methods divided into four groups ,19 cases in each group.Group A and group B bandaged after six days ,respectively,with the traditional bandage and elastic bandages pressure ,group C and D were bandaged 10 days respectively ,with traditional bandages and elastic bandage .Pa-tients were followed up two months to observe whether there is salivary fistula .Results The rate of salivary fistula between A ,B,C,D group was 5.26%,10.53%,5.26%,5.26%,no significant difference between the four groups was found （P〉0.05）.Conclusion Parotid super-ficial lobe resection bandaged at the same time ,no significant difference was found between the different ways .Extended dressing time can re-duce the effectiveness of traditional bandaged .Extending the time has a role in the prevention of salivary fistula .