负压引流防治腮腺术后涎瘘112例

doi:10.6040/j.issn.1673-3770.0.2017.258

摘要/Abstract

摘要： 目的探讨负压引流技术作为防治腮腺术后涎瘘方案的可行性。方法腮腺良性疾病患者112例,手术后放置负压引流管引流3 d,拔管后短时间加压包扎3 d,观察涎瘘情况并对症治疗。结果 104例切口一期愈合; 7 例发生轻度涎瘘,局部搔刮后加压包扎1周后治愈;1例术后术腔积血并Ⅲ级涎瘘,术后3 d发现,经处理后术后2周治愈。结论负压引流可以预防腮腺涎瘘发生,缩短加压包扎时间,传统加压包扎对术后涎瘘治疗作用肯定。

关键词: 预防, 涎瘘, 治疗, 腮腺切除, 加压包扎

Abstract: Objective To analyze the clinical factors related to post-parotidectomy salivary fistula, and to prevent and treat the complications of parotid gland surgery. Methods From January 2010 to June 2016, 112 patients with parotid diseases were treated using surgical procedures; a negative pressure drainage tube was placed in the wound on the first 3 postoperative days, and compression bandage was used for a short while after extubation for 3 days. The patients were followed up for development of salivary fistula, and symptomatic treatment was administered where necessary. Results Of the 112 patients, 104 healed without infection; 7 developed a mild salivary fistula,, and 1 experienced postoperative cavity hemorrhage and salivary fistula which resolved with therapy. Conclusion Negative pressure drainage can effectively prevent the occurrence of parotid fistula and shorten the period of application of compression bandage, and the postoperative therapeutic effect of traditional compression bandage on the salivary fistula can be confirmed.

Key words: Parotidectomy, Prevention, Sialosyrinx, Treatment, Compression bandage

中图分类号:

R782.7

刘义平,林远超. 负压引流防治腮腺术后涎瘘112例[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 65-67.

LIU Yiping, LIN Yuanchao. Use of negative pressure drainage for prevention of salivary fistula after parotidectomy: an analysis of 112 cases[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 65-67.

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