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口腔颌面部化脓感染,以急性化脓性蜂窝组织炎、急性牙槽脓肿较为常见。过去一般多采用切开引流的方法治疗。尽管尚能有效的达到治疗目的,但是由于口腔颌面部神经密集,术后除遗留疤痕畸形外,还有造成面神经麻痹的可能。为了克服这些缺点,罗马尼亚格鲁日(Cluj)颌面外科医院Cosma氏1975年报导了对颌面部化脓感染采用穿刺抽脓,冲洗脓腔及注入抗菌素的方法(1),取得了满意的治疗效果。为了消除多次穿刺痛苦的缺点,我科除沿用此法外,部分病例将此法改进为一次插管,多次冲洗及脓腔注入抗菌素。
Oral and maxillofacial infection, acute suppurative cellulitis, acute alveolar abscess is more common. In the past generally use the method of incision and drainage. Although still effective to achieve the purpose of treatment, but due to the dense oral and maxillofacial surgery, in addition to residual scar deformity, there is the possibility of facial nerve paralysis. To overcome these shortcomings, Cosma, Romania's Cluj Maxillofacial Surgery Hospital, reported in 1975 that satisfactory treatment was obtained using puncture and pus drainage, abscess irrigation and antibiotic infusion for maxillofacial suppurative infection (1) effect. In order to eliminate the shortcomings of multiple puncture pain, in addition to using this method in our department, in some cases this method improved into a catheter, multiple flushing and abscess injection of antibiotics.