腮腺浅叶切除术后单纯负压加压预防涎瘘的效果评价

上海口腔医学 ›› 2014, Vol. 23 ›› Issue (6): 759-762.

腮腺浅叶切除术后单纯负压加压预防涎瘘的效果评价

江瑾¹, 贾暮云¹, 蔡圳², 袁荣涛¹, 王科¹, 张奎³, 卜令学¹

1.青岛大学附属医院口腔颌面外科,山东青岛 266003; 2.山东省临沂市人民医院口腔科,山东临沂 276000; 3.山东省高密市中医院口腔科,山东高密 261500

收稿日期:2014-03-03 修回日期:2014-05-02 出版日期:2014-12-20 发布日期:2015-01-08
通讯作者: 卜令学,E-mail：blx9523@163.com E-mail:jiangjin198767@126.com
作者简介:江瑾(1987-),男,在读硕士研究生
基金资助:
青岛市科技发展指导计划（KZD-11）

The effect evaluation of suction drainage to prevent fistula after superficial parotidectomy

JIANG Jin, JIA Mu-yun, CAI Zhen, YUAN Rong-tao, WANG Ke, ZHANG Kui, BU Ling-xue

1.Department of Oral and Maxillofacial Surgery, the Affiliated Hospital of Qingdao University Medical College. Qingdao 266003;
2. Department of Stomatology, Linyi People’s Hospital. Linyi 276000;
3.Department of Stomatology, Chinese Medicine Hospital of Gaomi County. Gaomi 261500, Shandong Province, China

Received:2014-03-03 Revised:2014-05-02 Online:2014-12-20 Published:2015-01-08
Supported by:
Science and Technology Development Mentoring Program of Qingdao Municipality (KZD-11)

摘要/Abstract

摘要： 目的：评价单纯负压引流在腮腺手术后涎瘘预防中的临床价值,根据术后引流量、引流天数与涎瘘的关系,寻找最佳的拔管时机。方法：不保留腮腺导管的腮腺浅叶切除的腮腺疾病患者194例,分为传统加压组（拔除引流管后继续加压包扎）和单纯负压组（拔管后不再加压包扎）,记录术后涎瘘情况。应用SPSS19.0软件包对数据进行统计学分析。结果：传统加压组涎瘘发生率（11.6%）与单纯负压组涎瘘发生率（15.5%）无显著差异（P>0.05）;单纯负压组,引流天数与涎瘘发生率无显著相关性（P>0.05）,而引流量少于20 mL的患者,术后涎瘘发生率显著低于20~30 mL者。结论：单纯负压引流能代替传统拔管后继续加压包扎预防涎瘘,引流量小于20 mL可作为拔管的最佳时机。

关键词: 腮腺浅叶切除术, 涎瘘, 负压引流

Abstract: PURPOSE: To evaluate the clinical value of suction drainage to prevent fistula after parotidectomy, and seek the best opportunity to remove the drainage according to the draining output and duration. METHODS: One hundred and ninety-four patients with parotid diseases after superficial parotidectomy were assigned into pressure dressing group and suction drainage group. Pressure dressing was used after suction drainage tube was removed in the pressure group, while suction drainage tube was fixed through the process in the suction group. Postoperative salivary fistula occurrence between the 2 groups was analyzed with Pearson chi-square test, and the contribution of the output and duration resulting in salivary fistula was analyzed by Fisher’s exact test with SPSS 19.0 software package. RESULTS: The occurrence of salivary fistula in the pressure dressing group and suction group was 11.6% and 15.5%, respectively in the suction group. No significance difference was found between the 2 groups (P>0.05). In the suction drainage group, significant correlation of the draining duration and salivary fistula was not found (P>0.05). However, the draining output less than 20 mL resulted in lower salivary fistula rate compared with the draining output of 20-30 mL. CONCLUSIONS: According to our findings, suction drainage can be used as a substitute for pressure dressing after parotidectomy in preventing salivary fistula, and the best timing of drainage extubation is when the draining output is less than 20 mL within 24 hours.

Key words: Superficial parotidectomy, Salivary fistula, Suction drainage

中图分类号:

R782.7

江瑾, 贾暮云, 蔡圳, 袁荣涛, 王科, 张奎, 卜令学. 腮腺浅叶切除术后单纯负压加压预防涎瘘的效果评价[J]. 上海口腔医学, 2014, 23(6): 759-762.

JIANG Jin¹, JIA Mu-yun¹, CAI Zhen², YUAN Rong-tao¹, WANG Ke¹, ZHANG Kui³, BU Ling-xue¹. The effect evaluation of suction drainage to prevent fistula after superficial parotidectomy[J]. Shanghai Journal of Stomatology, 2014, 23(6): 759-762.

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