上颌骨骨折切开复位坚固内固定术中冲洗上颌窦预防术后切口感染的临床研究

Clinical research of using flooding the sinus during open reduction and rigid internal fixation for maxillary fractures to prevent wound infection after surgery

目的研究上颌骨骨折切开复位坚固内固定术中冲洗上颌窦预防术后切口感染的效果。方法在2010年6月—2015年3月期间,我院收治了71例上颌骨骨折患者,均行上颌骨骨折切开复位坚固内固定术,切口入路为上颌前庭沟切口。其中,28例在术中不行上颌窦冲洗(非冲洗组),另外43例在术中行上颌窦冲洗(冲洗组),对2组术后切口感染发生率进行记录。结果在非冲洗组中有6例发生感染,感染发生率为21.4%;在冲洗组中只有1例发生感染,感染发生率为2.3%,2组在术后切口感染发生率方面的差异有统计学意义(P<0.05)。结论术中冲洗上颌窦能显著降低上颌骨骨折切开复位坚固内固定术后切口感染发生率。

Objective The purpose of our study is to research whether flooding the sinus during open reduction and rigid internal fixation for maxillary fractures can prevent wound infection after surgery or not. Methods We reviewed 71 patients with maxillary fractures who underwent open reduction and rigid internal fixation using Intraoral incisions between June 2010 and March 2015 at Department of Oral and Maxillofacial Surgery,San Ming First Hospital.28 patients were not treated using flooding the sinus during surgery（non-flooding group）,43 patients were treated using flooding the sinus during surgery（flooding group）.We compared the 2 treatments in terms of wound infection after surgery. Results We found a significant difference（P=.026）in the incidence of wound infection after surgery：In the non-flooding group,wound infection was seen in 6 patients,the incidence was 21.4%;In the flooding group,wound infection was seen in 1 patients,the incidence was 2.3%.Conclusion We found that wound infection after surgery can be significantly reduced with flooding the sinus during open reduction and rigid internal fixation for maxillary fractures.