负压封闭引流技术在治疗严重颌面颈部感染中的应用

摘要

目的:探讨负压封闭引流技术(VSD)在治疗严重颌面颈部感染的疗效.方法:采用VSD治疗9例严重颌面颈部感染患者.在脓肿切开后,以负压封闭引流材料覆盖切口,采用40 ～ 60 KPa的负压持续对脓腔进行负压封闭引流.结果:患者局部肿胀迅速消退,疼痛明显减轻,负压封闭引流时间4～10 d,平均5.8d,患者均治愈,无纵隔感染.结论:VSD可提高局部引流的效率,阻止感染的扩散.%Objective:To investigate the efficacy of vacuum sealing drainage (VSD) in the treatment of severe maxillofacial and neck space infection.Methods:9 patients (6 males,3 females) with severe maxillofacial and neck space infection were treated with VSD.After incision of abscess,the incision was covered by VSD material and 40-60 KPa continuous negative pressure drainage was given.Results:Swelling and pain of the patients reduced rapidly.The period of VSD treatment was 4 to 10 days (mean 5.8 days).9 patients were all cured without mediastinitis.Conclusion:VSD ehhance the dranage efficiency and prevent infection spreading.