摘要： 目的：探讨利用负压封闭引流管进行负压引流及局部磺胺米隆冲洗，治疗口腔颌面颈部间隙感染的临床应用价值。方法：收集2011-06—2012-03期间收治的9例口腔颌面颈部间隙感染患者，其中男性3例， 女性6例；年龄最大75岁， 最小54岁， 平均62.2 岁。均采用以应用负压封闭引流技术（vaccum sealing drainage,VSD）为主的脓肿切开术， 术前抽取脓液作细菌培养，术后以醋酸磺胺米隆溶液和生理盐水分别冲洗创口。结果：术后随访至所有创面完全愈合后2个月，均效果良好。创口平均愈合时间为10.1 d。结论：负压封闭引流管进行负压引流及局部磺胺米隆冲洗，治疗颌面颈部间隙感染，能够早期控制感染，并刺激创腔早期愈合，是临床上值得推荐的好方法。

关键词: 颌面部, 感染, 负压引流, 治疗

Abstract: Objective: To review the clinical effectiveness of vacuum sealing drainage (VSD) in the management of fascial space infections. Methods: From June 2011 to March 2012, 9 patients, included 6 females and 3 males, suffering fascial space infection were treated by VSD, and the mean age of the patients was 62.2 years (range 54~75years). Pus specimen was sent to laboratory for its culture and bacteriologic study before operation. After incision and drainage, irrigation with acetate mafenide solution were carried out until all suppuration signs ceased. Results：The period of follow-up persisted to two months. Every wound healed completely and none evidence of infection recurrence. The mean healing time was 10.1 days. Conclusion：Vaccum sealing drainage combining with mafenide acetate irrigation is shown effectiveness in the treatment of fascial space infection of maxillofacial region.

Key words: maxillofacial region, infection, vaccum drainage, therapy

中图分类号: 

• R445

• R782.4