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目的探讨口腔颌面部及颈部间隙感染的诊疗特点。方法 78例口腔颌面部及颈部间隙感染患者,回顾分析其病历资料,总结诊断结果及治疗转归情况。结果口腔颌面部及颈部间隙感染部位主要包括颌下间隙(23.1%)和眶下间隙(17.9%);脓液细菌培养检查显示本组患者以革兰阴性杆菌(44.9%)和金黄色葡萄球菌(15.4%)感染为主;本组患者经抗菌治疗和脓肿切开引流直流均康复出院。结论针对口腔颌面部及颈部间隙感染患者应当积极进行抗菌及切开引流治疗,应根据诊断结果尽量兼顾全身,综合处理,确保治疗效果。
Objective To investigate the diagnosis and treatment of oral maxillofacial and neck infections. Methods A total of 78 patients with oral, maxillofacial and cervical space infection were retrospectively analyzed, their medical records were summarized, the diagnosis results and treatment outcome were summarized. Results The sites of oral, maxillofacial and cervical space infections mainly included submandibular space (23.1%) and infraorbital space (17.9%). Bacterial cultures of pus showed that Gram-negative bacilli (44.9%) and golden yellow Staphylococcus aureus (15.4%) infection-based; this group of patients after antibacterial therapy and abscess incision and drainage were recovered and discharged. Conclusion For patients with oral, maxillofacial and cervical space infections, antibacterial and incision and drainage should be actively carried out. All patients should be treated according to the diagnostic results as far as possible to ensure the treatment effect.