腮腺术后持续负压吸引结合弹性加压包扎预防涎瘘的效果评价

Suction Combined with Elastic Prevention of Salivary Fistula to Evaluate the Effect of Continuous Compression Bandaging after Parotidectomy

目的探讨持续负压吸引结合弹性加压包扎预防涎瘘在腮腺术后的临床应用效果。方法腮腺切除术的腮腺疾病患者54例,随机将其分为对照组和实验组,对照组患者行传统加压包扎结合橡皮片引流,实验组患者行持续负压引流结合弹性加压包扎,对比两组术后涎瘘预防效果。结果实验组术后涎瘘发生率(2.8%)显著低于对照组(16.7%)(P<0.05),差异具有统计学意义。结论腮腺术后持续负压吸引结合弹性加压包扎能明显降低涎瘘发生率。

Objective To investigate the value of application of continuous negative pressure aspiration and elastic bandage pressure dressing to the healing of parotidectomy. Methods Fifty-four cases of post-parotidectomy pa- tients were randomly divided into experimental group and control group to compare the incidence rate of salivary fistula by different dressing methods. The continuous negative pressure aspiration and elastic bandage pressure dressing were ap- plied in experimental group and traditional pressure dressing and rubber tissue draining in control group. Results The incidence rate of salivary fistula in experimental group was obviously lower than that in control group. Conclusion Com- bined method of continuous negative pressure aspiration and elastic bandage pressure dressing is a reliable way to prevent post-op salivary fistula and infection,and also shorten the period of pressure dressing, which obviously improve the ease- ment of patients.