常规引流与负压引流在涎腺术后的应用效果

Conventional drainage and suction drainage after the salivary gland surgery

目的：探讨常规引流与负压引流在涎腺手术术后的应用效果。方法随机选取霍州煤电集团总医院2011年7月至2013年12月收治的行涎腺手术患者90例，将其随机平均分配为实验组和对照组，其中对照组患者实施常规加压包扎引流，实验组患者采用负压引流，对比两组患者术后并发症的发生情况。结果实验组引流管拆除后Ⅰ期愈合率为100％（45／45），对照组为82．2％（37／45），且实验组术后并发症的发生率明显低于对照组，差异有统计学意义（ P＜0．05）。结论负压引流能够有效避免常规引流方法的不足之处，促进局部良好贴敷及创口愈合，防止术后涎瘘等并发症的发生，建议在临床上进一步推广。

Objective To investigate the effect of conventional drainage and suction drainage af-ter the salivary gland surgery.Methods From July 2011 to December 2013, 90 patients with salivary gland surgery were randomly chosen, they were randomly divided into the experiment group and control group, the control group received conventional bandaged drainage, and the experiment group received suction drainage, the postoperative complications of the two groups were compared.Results The heal-ing rate was 100%（ 45/45 ） in experiment group after drainage tube removed, that of the control group of patients was 82.2%（37/45） .The incidence of postoperative complications was significant-ly lower in the experiment group than that in the control group, the difference was significant（ P ＆lt;0.05） .Conclusions Suction drainage can effectively avoid the deficiencies of conventional drainage methods, promote local good sticking and wound healing, prevent the occurrence of postoperative compli-cations such as salivary fistula, it is recommended to be further promoted in clinical practice.