应用负压引流结合区域弹性加压包扎术预防

›› 2016, Vol. 36 ›› Issue (8): 714-717.

应用负压引流结合区域弹性加压包扎术预防

董希银¹,张文忠²,朱学芬²,杨雯君³

1. 济宁医学院附属医院
2. 山东省济宁医学院附属医院口腔颌面外科
3. 上海交通大学医学院附属第九人民医院?口腔医学院口腔颌面外科

收稿日期:2015-05-11 修回日期:2015-07-09 出版日期:2016-08-28 发布日期:2016-08-28
通讯作者: 董希银 E-mail:dong.xiyin@163.com

Use of negative pressure drainage combined with regional elastic compression dressing in preventing postoperative salivary fistula

Received:2015-05-11 Revised:2015-07-09 Online:2016-08-28 Published:2016-08-28

摘要/Abstract

摘要： 目的研究腮腺术区负压引流结合区域弹性加压包扎术在腮腺手术的应用价值，探讨腮腺术后涎瘘发生的相关因素。方法选择200例腮腺良性肿瘤需手术治疗的患者，随机分为100例腮腺术区负压引流去除后区域弹性加压包扎组和100例传统绷带包扎组，分析2组术后涎瘘的发生率，同时分析术中、术后因素可能和涎瘘发生的关系。采用SPSS 16.0软件包对数据进行统计学分析。结果负压引流结合区域弹性加压包扎涎瘘发生率（2%）较传统组（12%）明显降低，甚至可以杜绝涎瘘发生，两组之间的差异显著（P<0.05）。结论腮腺术后负压引流结合区域弹性加压包扎术预防涎瘘明显优于传统包扎方法，患者舒适度高、不影响张口进食、讲话、听力、无头面部受压疼痛，包扎时间短、外观美观，具有临床应用价值，值得推广应用。

关键词: 腮腺手术, 负压引流, 包扎方法, 涎瘘

Abstract: Objective To study the application value of negative pressure drainage in combination with regional elastic compression dressing in parotid gland operation, and to explore the factors related to salivary fistula after parotidectomy. Method 200 cases of patients with benign parotid tumors who needed operation treatment were randomly divided into 2 groups: 100 cases were treated with negative pressure drainage combined with regional elastic compression dressing in the parotid gland area, and 100 cases were treated with traditional bandage. The incidence of postoperative salivary fistula, and the possible factors leading to salivary fistula during and after the operation were analyzed. Statistical analysis was made by SPSS16.0 software package. Results The incident of salivary fistula in the group using negative pressure drainage combined with regional elastic compression dressing (2%) was significantly lower than that in the group using traditional bandage (12%), and salivary fistula could even be prevented in the former group. The difference between the two groups was significant (P<0.05). Conclusion The negative pressure drainage combined with regional elastic compression dressing is obviously better than the traditional bandage in preventing salivary fistula after parotidectomy. With less dressing time and a beautiful appearance, this method is also comfortable for the patients, which does not affect their eating, speaking and hearing, and makes no compression pain in the head and face. With good clinical application value, negative pressure drainage combined with regional elastic compression dressing is worthy of popularization.

Key words: Parotid operation, negative pressure drainage, bandaging method, salivary fistula

中图分类号:

R782.7

董希银张文忠朱学芬杨雯君. 应用负压引流结合区域弹性加压包扎术预防[J]. , 2016, 36(8): 714-717.

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