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目的探讨颌面部软组织损伤并腮腺损伤的临床诊治疗效。方法我院收治的颌面部软组织损伤并腮腺损伤患者56例,其中33例患者为急性损伤,23例患者为陈旧性损伤。单纯腮腺损伤的患者于局麻下进行直接修复,伴有其他损伤的患者于全麻下进行修复。结果急性损伤患者的Ⅰ期愈合率和面神经功能恢复率与陈旧损伤患者比较,差异无统计学意义(P>0.05),急性损伤患者的术后并发症发生率以及平均住院时间均明显优于陈旧损伤患者(P<0.05)。结论对于颌面部软组织损伤并腮腺损伤的患者进行及时的清创和治疗,并根据患者的损伤情况选择最为适合的治疗方式,可以有效的修复患者的损伤,恢复患者的面神经功能,降低术后并发症的发生。
Objective To investigate the clinical diagnosis and treatment effect of maxillofacial soft tissue injury and parotid gland injury. Methods 56 patients with maxillofacial soft tissue injury and parotid injury admitted to our hospital were involved. Among them, 33 patients were acute injuries and 23 patients were old injuries. Patients with simple parotid gland injury under direct local anesthesia, with other injuries in patients under general anesthesia for repair. Results There was no significant difference in the rates of primary healing and facial nerve recovery between acute injury patients and those with old injuries (P> 0.05). The incidence of postoperative complications and the average length of hospital stay in patients with acute injury were significantly better than those of old ones Injury patients (P <0.05). Conclusion For patients with maxillofacial soft tissue injury and parotid gland injury, timely debridement and treatment and choose the most appropriate treatment according to the patient’s injury can effectively repair the patient’s injury, restore the facial nerve function and reduce the postoperative Complications occur.