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The use of bipolar coagulation forceps prevented salivary fistula in patients with parotidectomy: a retrospective study

机译:双极凝血钳阻止植物切感术患者的唾液瘘:回顾性研究

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Salivary fistula is a relatively common complication in patients who have undergone a parotidectomy. The purpose of this study was to investigate the effects of bipolar coagulation forceps use on salivary fistulas. From March 2015 to June 2020, 177 patients who underwent a parotidectomy in the Department of Oral and Maxillofacial Surgery at the Second Xiangya Hospital of Central South University were recruited. The patients were divided into an experimental group and a control group based on whether bipolar coagulation forceps or sutures were used, respectively. The drainage output of the experimental group was significantly lower than that of the control group (p?=?0.04). The duration of dressing pressure applied in the experimental group was significantly shorter than that in the control group (p?=?0.0003). Moreover, the incidence of salivary fistula in the experimental group (9.8%, 8/82) was notably lower than that in the control group (34.7%, 33/95) (p??0.0001). In the logistic regression model for salivary fistula development, both the use of bipolar coagulation forceps (p?=?0.0021) and drainage output (p?=?0.0237) were associated with the presence of salivary fistulas. Our findings indicate that the use of bipolar coagulation forceps decreases the incidence of salivary fistula in patients who have undergone a parotidectomy. The use of bipolar coagulation forceps is a safe, effective, and convenient method to prevent salivary fistulas in patients who undergo a parotidectomy. Trial registration: Current Controlled Trials ChiCTR2100044722, Date: 26/03/2021, Retrospectively registered.
机译:唾液瘘是经过腮腺切除术的患者的相对常见的并发症。本研究的目的是探讨双极凝血钳对唾液瘘管的影响。从2015年3月到6月2020年6月,招募了177例,在中南大学第二仙江医院进行口腔和颌面外科部门进行静脉曲张切除术患者。将患者分为实验组和基于双极凝固钳或缝合线的对照组。实验组的排水输出显着低于对照组(P?= 0.04)。在实验组中施加的敷料压力的持续时间明显短于对照组(p?= 0.0003)。此外,实验组中的唾液瘘的发生率(9.8%,8/82)尤其低于对照组(34.7%,33/95)(p≤≤0.0001)。在唾液瘘开发的逻辑回归模型中,双极凝结钳(P?= 0.0021)和排水输出(P?= 0.0237)与唾液瘘的存在有关。我们的研究结果表明,双极凝固钳的使用降低了经过静脉曲切术的患者的唾液瘘的发生率。双极凝结钳的使用是一种安全,有效,方便的方法,以防止患者患者患者的唾液瘘管。审判登记:目前对照试验CHICTR2100044722,日期:回顾性注册。

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