CAJ | 학술논문

目的：??应用持续的负压引流术治疗严重颌面颈部间隙感染，观察其疗效。方法??采用持续负压引流术治疗18例严重颌面颈部间隙感染患者。在患者感染部位肿胀最明显或波动处用小切口切开引流，放置负压引流装置，同时缝合封闭创口，持续负压引流。结果??18例患者中，14例患者经持续负压引流至肿胀及疼痛消退，然后拔除引流管；4例患者术后创口破溃，负压消失而拔除引流管，改用其他无负压引流方法。所有患者术后肿胀疼痛未加重，无窒息、感染性休克、纵膈脓肿等并发症发生，均痊愈出院。结论??持续负压引流术为治疗严重颌面颈部间隙感染的方法多了一种选择，该方法改变了传统的脓肿切开引流的治疗方式，减少了患者的痛苦，同时也减轻了医生的工作负担。
목적：??응용지속적부압인류술치료엄중합면경부간극감염，관찰기료효。방법??채용지속부압인류술치료18례엄중합면경부간극감염환자。재환자감염부위종창최명현혹파동처용소절구절개인류，방치부압인류장치，동시봉합봉폐창구，지속부압인류。결과??18례환자중，14례환자경지속부압인류지종창급동통소퇴，연후발제인류관；4례환자술후창구파궤，부압소실이발제인류관，개용기타무부압인류방법。소유환자술후종창동통미가중，무질식、감염성휴극、종격농종등병발증발생，균전유출원。결론??지속부압인류술위치료엄중합면경부간극감염적방법다료일충선택，해방법개변료전통적농종절개인류적치료방식，감소료환자적통고，동시야감경료의생적공작부담。
Objective??This?study?observed?the?curative?effect?of?sustained?negative?pressure?drainage?application?on?treat-ment?of?severe?maxillofacial?and?neck?space?infection. Methods??Incision?and?drainage?were?performed?to?treat?18?patients?with?severe?maxillofacial?and?neck?space?infection.?A?small?incision?was?made?on?the?site?of?the?most?obvious?swelling?or?fluc-tuations,?and?localized?negative?pressure?was?applied?with?a?drainage?device?on?the?wound?during?suturing.?Results??Among?the?18?patients,?14?were?healed,?whereas?4?underwent?dehiscence?of?the?wound?after?the?operation.?Negative?pressure?was?lost?as?the?drainage?tubes?were?removed,?and?non-negative?pressure?drainage?method?was?used?instead.?During?the?negative?pressure?treatment,?swelling?and?pain?did?not?increase?after?the?operation.?Other?complications,?such?as?asphyxia,?septic?shock,?or?medias-tinal?abscess,?did?not?occur.?All?the?patients?were?healed?and?eventually?discharged?from?the?hospital.?Conclusion??Sustained?negative?pressure?drainage,?which?is?a?modified?version?of?the?traditional?method?of?incision?and?drainage,?is?an?alternative?treatment?for?severe?maxillofacial?and?neck?space?infection.?Such?treatment?reduces?patient?pain?and?eases?doctor?exertion.?Thus,?this?method?provides?a?new?therapeutic?strategy?for?severe?maxillofacial?and?neck?space?infection.