CAJ | 학술논문

目的：分析口腔颌面部开放性创伤患者创口内异物滞留的原因,并提出防范对策。方法对2例颌面部外伤后因漏诊漏治致异物滞留的临床资料进行回顾性分析。结果2例均有颌面部外伤史,1例因左颏下外伤后肿物15年伴表面皮肤溢脓2个月入院,1例因左耳前外伤3 d入院。创伤后均在外院进行了清创处理,入院后经CT等影像学检查均诊断为异物滞留并明确了异物性质及所在部位,后行手术治疗成功取出。结论临床接诊开放性创伤患者应仔细进行清创处理,对于疑诊异物嵌入者应尽早行影像学检查,有助于减少外伤后异物滞留的发生。
목적：분석구강합면부개방성창상환자창구내이물체류적원인,병제출방범대책。방법대2례합면부외상후인루진루치치이물체류적림상자료진행회고성분석。결과2례균유합면부외상사,1례인좌해하외상후종물15년반표면피부일농2개월입원,1례인좌이전외상3 d입원。창상후균재외원진행료청창처리,입원후경CT등영상학검사균진단위이물체류병명학료이물성질급소재부위,후행수술치료성공취출。결론림상접진개방성창상환자응자세진행청창처리,대우의진이물감입자응진조행영상학검사,유조우감소외상후이물체류적발생。
Objective To analyze the causes of oral and maxillofacial trauma patients with foreign bodies with open injury, and propose the preventive measures. Methods A retrospective analysis on the 2 cases of maxillofacial trauma with foreign bodies retention after misdiagnosis or mistherapy was carried out. Results The 2 cases had a history of maxillofacial trauma. In one case, the patient was admitted for the left chin mass for 15 years after the trauma associated with the excess pus of the surface of the skin in the past 2 months. In the other case, the patient was hospitalized because of the open injury preauricular for 3 days. Both of the 2 patients had already undergone debridment and suturing in the local hospitals. Upon ad-mission, they were diagnosed as having foreign bodies retention and nature and the position of the foreign bodies were idenfi-fied by CT and other imaging examinations, which were removed successfully with surgical procedure. Conclusion Clinically admitted open injury patients should undergo debridement carefully. For the suspected the embedded foreign bodies should be checked as soon as possible in imaging examinations. It can help to reduce the incidence rate of post-traumatic foreign bodies retention.