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目的:回顾性分析采取手术处理的口腔颌面部急性炎症患者临床资料。方法:选取研究对象58例,均于术前半小时预防性使用抗生素,根据患者情况分别采用脓肿包块整体切除术、脓肿包块切开引流术治疗。观察患者局部及全身症状控制情况、拔除引流管时间、伤口愈合及拆线情况。结果:58例患者中,43例采用脓肿包块整体切除术治疗,15例采用脓肿包块切开引流术治疗。脓肿包块整体切除术治疗43例患者其局部症状控制时间、全身症状消失时间、拔除引流管时间、拆线时间分别为(2.1±0.8)d、(1.5±0.3)d、(3.4±1.2)d、(7.6±2.0)d,一期愈合率为100%。脓肿包块切开引流术治疗15例患者治疗时间均﹥10d,但均顺利痊愈。结论:手术处理口腔颌面部急性炎症临床应用安全可行,对于符合脓肿包块整体切除术适应症者应尽量整体切除脓肿或包块,有利于患者早期康复;部分病灶情况复杂者,脓肿包块切开引流术亦可取得较好效果。
Objective: To retrospectively analyze the clinical data of patients with acute inflammation of oral and maxillofacial region treated surgically. Methods: Fifty-eight subjects were selected. All of them were given prophylactic antibiotics for half an hour before operation. According to the patients, they were treated with abscess mass and resection and drainage of abscess respectively. Observe the local and systemic symptoms of patients, removal of the drainage tube time, wound healing and stitches. Results: Among the 58 patients, 43 cases were treated with abscess mass and 15 cases were treated with abscess mass and drainage. The total removal of the abscess mass in 43 patients was 2.1 ± 0.8 days, (1.5 ± 0.3) days and (3.4 ± 1.2) days respectively in control of local symptoms, disappearance of systemic symptoms, drainage of the drainage tube, d, (7.6 ± 2.0) d, the primary healing rate was 100%. Abscess incision and drainage of the treatment of 15 patients were treated for> 10d, but were successfully cured. Conclusion: The clinical application of surgical treatment of acute oral and maxillofacial disease is safe and feasible. For patients who meet the indications for overall resection of abscess mass, abscess or mass should be removed as a whole, which is good for early rehabilitation. Some patients with complicated lesions, abscess mass Open drainage can also get better results.