颌骨囊肿手术疗效观察及感染控制分析

目的 研究颌骨囊肿的手术治疗效果，观察其手术后的感染发生情况，以及预防控制措施，为提高该类疾病的临床治疗效果和防止并发症提供帮助。方法 选择首都医科大学附属北京世纪坛医院口腔科2009年1月～2013年5月收治的颌骨囊肿患者70例，观察其手术治疗效果，并分析影响患者术后并发感染的危险因素，总结相关控制及预防措施。结果 所有70例颌骨囊肿手术患者中，4例老年患者因囊肿过大行开窗减压治疗；2例术后复发，再次手术后痊愈；8例术后并发感染，后经冲洗及碘仿填塞换药后痊愈。感染患者与非感染患者各项生理指标比较包括白细胞计数（WBC）、C反应蛋白（CRP）、中性粒细胞比例（NEUT％）等，差异均有统计学（P〈0．05）。不同手术时间及是否抗生素使用、无菌操作、伤口清创是手术感染的临床影响因素。结论 颌骨囊肿手术治疗有感染风险，但可以通过术前充分准备，术中冲洗干净，合理使用抗生素，严格无菌操作，以及充分清创来降低其感染率．从而减轻患者痛苦。

Jaw cyst surgery observation and analysis of the infection control

Objective To research the surgery effect of the jaw cyst, to observe the postoperative infections, as well as the prevention and control measures, to improve the effect of clinical treatment of the disease and prevent complications. Methods 70 patients with jaw cyst from January 2009 to May 2013 in Department of Stomatology, Beijing Millennium Monument Hospital Affiliated of Capital Medical University were selected. The curative effect of the surgical treatment was observed and the influence of postoperative patients with concurrent infection risk factors were analyzed, the relevant control and preventive measures were summarized. Results Among the 70 cases of jaw cyst surgery patients, 4 cases of elderly patients for excessive cyst were taken the windowing decompression treatment; 2 cases of postoperative recurrence were found and cured after reoperation, 8 cases of postoperative infection were found and cured after flushing and Iodoform tamponade. The differences of WBC, CRP, NEUT% between infection patients and the noninfection patients were statistically significant （P 〈 0.05）. The different operation time, antibiotic use, sterile operation, wound debridement were the clinical influence factors to surgical infection. Conclusion Jaw cyst surgery have a risk of infection, but it can reduce the infection rate by preoperative preparation, intraoperative irrigation, reasonable use of antibiotics, strict aseptic operation, as well as adequate debridement, so as to relieve patients＇ pain.