摘要
目的:通过比较分析69例上颌骨囊肿(cystic lesion)临床病例,探讨上颌骨囊肿术后合理的引流方式。方法 :收集2006-2010年上颌骨囊肿病例69例,对比分析术后创口单纯严密缝合加面部加压包扎,和严密缝合加碘仿纱条填塞引流2种术式的疗效。结果:只采用单纯严密缝合切口加面部加压包扎的44例中,其囊肿长径在3.5cm以下的30例,有2例出现窦道,占6.7%;而长径在3.5cm以上的14例中,4例出现窦道或创口裂开(28.6%)。采用碘仿纱条填塞引流的25病例(准>3.5 cm)中,仅1例出现窦道,占4%。结论:上颌骨囊肿直径在3.5cm以下者,术后可采用单纯口内切口严密缝合加面部加压包扎,超过3.5cm者则需碘仿纱条填塞引流。
Objective： To discuss the postoperative drainage methods after maxillary cyst operation. Methods： 69 patients with maxillary cysts underwent enucleation were retrospectively reviewed. Patients were assigned into two groups in accordance with cystic wound closure. Group 1 （n=25）, cystic cavity was packed with iodoform gauze strip through the opening beneath the inferior turbinate. Group 2 （n=44）, cystic wound was left empty and closed by suture with pressure bandage. Results： Group 1, cystic fistula was observed in one case（4%）. Group 2, two cystic fistulas complicated in cases whose cyst was smaller than 3.5mm（2/30,6.7%）, four fistulas were seen in cases whose cyst was larger than 3.5 mm （4/14,28.6%）. Conclusion： Simple tight intraoral wound suture plus facial compressive bandage may be advisable for the maxillary cyst with diameter less than 3.5 cm; while filling drainage with iodoform gauze strip may be needed for the maxillary cyst with diameter larger than 3.5 cm.
出处
《口腔颌面外科杂志》
CAS
2012年第4期285-286,共2页
Journal of Oral and Maxillofacial Surgery
