探讨微创切口联合负压引流治疗颌面部间隙感染的临床效果

Exploration of the Clinical Effect of Minimally Invasive Incision Combined with Negative Pressure Drainage in the Treatment of Maxillofacial Space Infection

目的探讨微创切口联合负压引流治疗颌面部间隙感染的疗效。方法方便选取该院2013年1月—2016年12月期间收治的80例颌面部间隙感染患者为例,随机将其分为观察组和对照组,每组40例。对照组患者行传统切开引流手术治疗,创口置普通细橡皮管,观察组患者实施微创切口联合负压引流治疗。评价2组患者治愈率,并就患者拔管时间、病原菌清除率及并发症发生率展开比较。结果观察组和对照组临床治愈率分别为82.5%、70.0%,2组比较差异有统计学意义(P<0.05)。观察组患者平均拔管时间(4.2±1.3)d、病原菌清除率95.0%均显著低于对照组(5.8±1.7)d、85.0%,差异有统计学意义(P<0.05)。观察组和对照组术后均未发现并发败血症、脓毒血症、脑脓肿、颈部及纵隔脓肿等并发症,两组比较差异无统计学意义(P>0.05)。结论微创切口联合负压引流治疗颌面部间隙感染有显著的效果,不但创伤小、美观,安全性更高,值得推广。

Objective This paper tries to observe the curative effect of minimally invasive incision combined with negative pressure drainage on maxillofacial space infection. Methods 80 cases of maxillofacial interstitial infection admitted in this hospital from January 2013 to December 2016 were convenient selected and randomly divided into the observation group and the control group with 40 cases in each group. The patients in the control group underwent conventional incision and surgical treatment and the wound was treated with norm thin rubber hose. The patients in the observation group were treated with minimally invasive incision combined with negative pressure drainage. The cure rate of the two groups was evaluated and the incidence of extubation time, pathogen clearance rate and complication rate were compared. Results The clinical cure rates of the observation group and the control group were 82.5% and 70.0% respectively. There was significant difference between the two groups（P 0.05）. The mean extubation time was（4.2 ±1.3） d and the pathogens clearance rate was95.0%, significantly lower than the control group of（5.8±1.7） d and 85.0% respectively. The difference was statistically significant（P〈0.05）. There were no complications such as sepsis, hyperlipidemia, brain abscess, neck and mediastinal abscess in the observation group and the control group. There was no significant difference between the two groups（P〉0.05）. Conclusion Minimally invasive incision combined with negative pressure drainage treatment of maxillofacial space infection has a significant effect, with small and minor trauma, which is safe and secure, therefore it is worthy of promotion.