目的:评估颌面颈部深部化脓性感染的微创手术加负压引流的临床效果。方法:2009年1月~2013年12月颌面颈部深部化脓性感染病例87例,其中淋巴结坏死形成的脓肿32例、囊肿伴感染21例、间隙感染24例、化脓性颌下腺炎10例。所有病变在全麻下微创切口,行脓肿切开及包块的整体切除,伤口内放置持续负压引流管,严密关闭创口。术后次日开始药物和生理盐水冲洗,配合常规抗炎、支持和对症处理。结果:87例患者术后全身发热、不适等症状明显好转,局部炎症反应基本在1~3天内控制,伤口大部分可以一期愈合,创面小而美观。合并有糖尿病、艾滋病等疾病时,伤口愈合延迟。结论:颌面颈部深部化脓性炎症大部分可以一期切除,脓肿行微创切口,并严密关闭伤口,伤口通过负压引流结合冲洗,是取得良好治疗效果的保证。 Objective: To evaluate the clinical effect of minimally invasive surgery and negative pressure drainage in deep suppurative infection of maxillofacial neck. Methods: From January 2009 to December 2013, 87 patients with maxillofacial purulent infection of maxillofacial and neck were enrolled. Among them, 32 were abscess formed by lymph node necrosis, 21 were cyst accompanied by infection, 24 were interstitial infection and 10 were purulent submandibular gland inflammation. All lesions under minimally invasive incision in general anesthesia, abscess incision and mass removal of the whole, the wound placed continuous negative pressure drainage tube, close the wound. The next day after the start of medicine and saline flush, with conventional anti-inflammatory, support and symptomatic treatment. Results: The symptoms of postoperative systemic fever and discomfort in 87 patients were significantly improved. The local inflammatory response was controlled within 1 to 3 days. Most of the wounds could be healed in one time, and the wound surface was small and beautiful. With diabetes, AIDS and other diseases, the wound healing delay. Conclusion: Most of maxillary and maxillofacial suppurative inflammation can be resected in one stage. Minimally invasive incision of abscess is performed, and the wound is closed tightly. The wound is drained by negative pressure and drainage, which is the guarantee of good curative effect.