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目的探讨颌面部软组织损伤合并腮腺损伤的临床治疗及疗效分析。方法 2010年5月至2012年5月期间,本院诊治的35例颌面部软组织损伤合并腮腺损伤患者,根据损伤新鲜程度,分为30例急性损伤和5例陈旧性损伤,给予相应治疗。结果 30例急性损伤患者全部治愈,平均住院(12.0±5.0)d,伤口均达到I期愈合标准,没有出现腮瘘、腮腺导管瘘等并发症,面神经吻合患者也在术后12个月内恢复正常;5例陈旧性损伤患者,腮瘘、腮腺导管瘘经治疗均治愈,面神经吻合患者也在术后12个月内恢复正常。结论对于颌面部软组织损伤合并腮腺损伤患者,首先准确划分损伤类型,尽可能在急性损伤期处理,减少腮瘘、腮腺导管瘘的发生率。
Objective To investigate the clinical treatment and curative effect of maxillofacial soft tissue injury with parotid gland injury. Methods From May 2010 to May 2012, 35 patients with maxillofacial soft tissue injury and parotid gland injury treated in our hospital were divided into 30 cases of acute injury and 5 cases of old injury according to the degree of fresh injury. The corresponding treatment was given. Results All the 30 patients with acute injury were cured. The mean hospital stay was (12.0 ± 5.0) days. The wounds reached the standard of stage I healing. No complications such as cheek fistula or parotid duct fistula were found. Patients with facial nerve anastomosis also recovered within 12 months after operation Normal; 5 cases of old injury patients, gills fistula, parotid catheter fistula were cured by treatment, facial nerve anastomosis patients also returned to normal within 12 months after operation. Conclusion For patients with maxillofacial soft tissue injury and parotid gland injury, the injury types should be accurately classified and treated as soon as possible during acute injury to reduce the incidence of parotid and glandular duct fistula.