›› 2019, Vol. 39 ›› Issue (2): 121-125.

• 临床研究 • 上一篇    下一篇

311例口腔颌面部间隙感染患者的回顾性分析

丁磊,曹俊,鲁勇,胡黎萍,徐明耀   

  1. 南京市口腔医院
  • 收稿日期:2018-03-16 修回日期:2018-04-21 出版日期:2019-02-28 发布日期:2019-03-05
  • 通讯作者: 鲁勇 E-mail:cleft_surgery@sina.com

Retrospective analysis of 311 cases of oral and maxillofacial space infection

  • Received:2018-03-16 Revised:2018-04-21 Online:2019-02-28 Published:2019-03-05
  • Contact: Yong LU E-mail:cleft_surgery@sina.com

摘要: 目的:探讨口腔颌面部间隙感染患者的流行病学分析及诊疗经验。方法:回顾分析311例口腔颌面部间隙感染患者的病案资料。结果:牙源性感染(70.4%)是口腔颌面部间隙感染最常见的病因。56.6%的入院患者病程超过1周。多间隙感染(70.5%)较单间隙感染(29.5%)更常见。60岁以上患者为患病最高的年龄段(38.9%)。血液链球菌是口腔颌面部间隙感染患者细菌培养检出率最高的致病菌(34.2%)。下行性纵隔炎是最常见的危及生命的并发症。78.1%的患者行脓肿切开引流术合并抗生素治疗。结论:口腔颌面部间隙感染患者治疗过程中需明确感染来源,从而指导治疗方案;B超、CT及MR等影像学检查对于间隙感染患者的诊断及治疗有指导意义;经验性抗生素使用合并脓肿切开引流仍是感染患者的首要治疗手段。在控制感染的基础上控制患者基础病的水平,避免可能出现的危及生命的并发症。

关键词: 口腔颌面部, 口腔颌面部间隙感染, 流行病学

Abstract: Objective: to investigate the epidemiological analysis and experience in diagnosis and treatment of oral and maxillofacial space infection. Methods: 311 cases of oral and maxillofacial space infection were retrospectively analyzed.Results: odontogenic infection was the most common cause of oral and maxillofacial space infection.56.6% of the hospitalized patients had a course of more than 1 week.Multispace infection (70.5%) is more common than single space infection (29.5%).Patients over 60 years of age were the highest age group with 38.9% of the disease.Streptococcus sanguis is the highest bacteria in oral and maxillofacial space infection patients(34.2%).Descending mediastinum is the most common life-threatening complication.78.1% of the patients underwent abscess incision and drainage with antibiotics.Conclusion: it is necessary to identify the source of infection in the treatment of oral and maxillofacial space infection, so as to guide the treatment plan, and the imaging examination such as B-ultrasound CT and Mr has guiding significance for the diagnosis and treatment of the patients with intermaxillofacial space infection. Empirical antibiotic use combined with abscess incision and drainage is still the primary treatment for infected patients. Based on the control of infection, the level of basic diseases of patients is controlled to avoid possible life-threatening complications.

Key words: oral and maxillofacial region, oral and maxillofacial space infection, Epidemiology

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