摘要
目的 回顾性分析牙源性颌面颈部多间隙感染患者的临床资料,旨在揭示影响牙源性颌面颈部多间隙感染治疗效果的危险因素,以期为临床上关于此类感染的早期病情评估、干预治疗策略的制定及住院时间的预测提供理论支撑.方法 统计患者一般资料(年龄、性别)、CT结果(感染间隙名称以及数量)、实验室检查、就诊前病程、住院前是否接受输液治疗、是否伴有糖尿病.结果 38例患者住院时间超过15 d的发生率为68.42％.颌下间隙为最常受累间隙可通过ln(住院天数)=2.117+0.02×(间隙感染个数)+0.409×(颈部间隙个数)+0.48×(舌下间隙感染个数)+0.074×(颏下间隙感染个数)+0.013×(第一次白细胞计数×109/L)+1×(中细粒细胞百分比)-0.316×(翼下颌间隙感染个数)-0.318×(颊间隙感染个数)-0.236×(颏下间隙感染个数).结论 年龄、白细胞计数、中性粒细胞百分比、感染间隙的数量、感染累及颌下间隙、翼下颌间隙、颊间隙、颈部间隙、舌下间隙、颏下间隙为危险因素.感染累及颌下间隙、翼下颌间隙、颊间隙对于延长住院时间的影响小于颏下间隙、颈部间隙、咽旁间隙.
Abstract
Objective To retrospectively analyze the clinical data from patients with odontogenic maxillofacial and cervical multi-space infections,to identify key risk factors affecting the treatment outcomes of such infections,and to provide theoretical support for the early assessment of the condition,the formulation of intervention treatment strategies,and the prediction of hospi-tal stay duration in clinical practice.Methods The study covered general data (age,gender),CT findings (names and number of infected spaces),laboratory tests,duration of illness before visit,pre-admission intravenous treatment,and presence of diabe-tes.Results Thirty-eight patients had a hospital stay exceeding15 days in68.42％ of cases. The submandibular space was the most frequently involved,and the length of hospital stay could be predicted by In (hospital days)=2. 117+0. 02 (number of in-fected spaces)+0. 409 × (number of cervical spaces)+0. 48 × (number of sublingual space infections)+0. 074 × (number of submental space infections)+0. 013 × (first white blood cell count × 109/L)+1 × (percentage of band neutrophils)-0. 316 × (number of pterygomandibular space infections)-0. 318 × (number of buccal space infections)-0. 236 × (number of submental space infections).Conclusion Age,white blood cell count,percentage of neutrophils,number of infected spaces,and involve-ment of the submandibular,pterygomandibular,buccal,cervical,sublingual,and submental spaces are risk factors. Infections involving the submandibular,pterygomandibular,and buccal spaces have a lesser impact on extending hospital stay compared to the submental,cervical,and parapharyngeal spaces.
维普
万方数据