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目的探讨腮腺术后适合的加压包扎时间。方法选择2007年1月至2011年10月广东省口腔医院口腔颌面外科手术治疗单侧腮腺疾病患者108例,按术后加压包扎时间分为A、B、C、D组,分别在拔除负压引流管后加压包扎4、6、8、10d,每组27例。比较各组术后涎瘘发生率。结果 A组中发生涎瘘8例(Ⅰ级6例、Ⅱ级2例),发生率为29.6%;B组中发生涎瘘1例(Ⅰ级),发生率为3.7%;C、D组中均未发生涎瘘。A、B组涎瘘发生率差异有统计学意义(χ2=4.80,P<0.01)。结论腮腺术后加压包扎6d,可有效预防术后涎瘘,减少患者长时间包扎的痛苦。
Objective To investigate the suitable compression bandaging time after parotid gland surgery. Methods From January 2007 to October 2011, 108 cases of unilateral parotid gland disease underwent oral and maxillofacial surgery in Guangdong Provincial Stomatological Hospital. According to the postoperative compression bandaging time, the patients were divided into A, B, C and D groups, Negative pressure drainage tube after bandaging 4,6,8,10 d, 27 cases in each group. The incidence of salivary fistula in each group was compared. Results 8 cases of salivary fistula occurred in group A (6 cases of grade Ⅰ and 2 of grade Ⅱ), the incidence rate was 29.6%. One case of salivary fistula (grade Ⅰ) occurred in group B, the incidence was 3.7%. Group C and D None occurred in the salivary fistula. The incidence of salivary fistula in group A and group B was statistically significant (χ2 = 4.80, P <0.01). Conclusion Parotid bandaged 6d after surgery can effectively prevent postoperative salivary fistula and reduce the pain of patients dressing for a long time.