摘要
目的:研究肾形棉垫加压包扎在腮腺手术中的应用价值,探讨腮腺术后涎瘘发生的有关因素。方法:196例腮腺良性肿瘤和瘤样病变,随机分为肾形棉垫组(100例)和传统包扎组(96例)。分析2组术后涎瘘发生率,同时分析不同术式、腮腺主导管是否结扎等因素和涎瘘发生的关系。采用SPSS13.0软件包对数据进行χ2检验。结果:棉垫组涎瘘发生率为1%,传统组发生率为13.54%,2组差异显著(P<0.01)。不同术式、腮腺主导管是否结扎和涎瘘发生无明显关系(P>0.05)。结论:肾形棉垫加压包扎能有效预防腮腺术后涎瘘发生,具有临床应用价值。
PURPOSE：To evaluate the usefulness of pressure bandage with kidney-shaped cotton pad in parotidectomy and the relevant factors of parotid salivary fistula occurring after parotidectomy. METHODS：One hundred and ninety-six patients with parotid benign tumor or tumor-like lesions were randomly divided into two groups,100 cases in the kidney-shaped cotton pad group and 96 cases in the traditional management group. The incidence of postoperative salivary in relation to surgical procedure,main parotid duct ligation,and parotid salivary fistula was analyzed. SPSS13.0 software package was used for Chi-square test. RESULTS：The incidence of parotid salivary fistula in the kidney-shaped cotton pad group was 1%,and the incidence in the traditional management group was 13.54%. The difference between the two groups was significant （P〈0.01）; Different surgical procedure,ligating the main parotid duct or not,had no effect on salivary fistula（P〉0.05）. CONCLUSIONS：The kidney-shaped cotton pad pressure bandaging can effectively prevent the occurrence of postoperative salivary fistula and has certain value in clinical application.
出处
《上海口腔医学》
CAS
CSCD
2010年第2期144-146,共3页
Shanghai Journal of Stomatology
关键词
腮腺切除术
涎瘘
肾形棉垫
Parotidectomy
Parotid salivary fistula
Kidney-shaped cotton pad
