WOUND BLEEDING AFTER HEAD AND NECK-SURGERY
WOUND BLEEDING AFTER HEAD AND NECK-SURGERY
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DOI：
10.1002/jso.2930530107
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发表时间：
1993-05-01
影响因子：
2.5
通讯作者：
SPIRO, RH
中科院分区：
文献类型：
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作者：
MATORY, YL;SPIRO, RH
使用我们的头颈部服务数据库，我们回顾了7年来在我们机构进行的3,200例外科手术。我们确定了54例手术后并发伤口出血的患者。最常并发伤口出血的手术是腮腺切除术，1.7%（510例患者中的14例），其次是甲状腺切除术，1.6%（504例患者中的8例），颈淋巴结清扫术联合其他手术，1.3%（885例患者中的12例），以及单纯颈淋巴结清扫术，1.1%（534例患者中的6例）。227例患者中有2例发生皮瓣供区出血，另有12例进行了其他手术。31例患者在手术室进行了再探查，13例在病房进行了有限探查，10例未进行干预观察。三个治疗组之间的伤口愈合没有差异。然而，在手术室进行伤口探查的患者的平均住院时间最短，为6.2天，在病房进行探查的患者为10天。8天，观察组为18.9天。引流对伤口愈合或平均住院时间没有影响。
Using our head and neck service database, we reviewed 3,200 surgical procedures performed at our institution over a 7-year period. We identified 54 patients whose surgery was complicated postoperatively by wound bleeding. The procedure most often complicated by wound bleeding was parotidectomy, 1.7% (14 of 510 patients), followed by thyroidectomy, 1.6% (8 of 504 patients), neck dissection combined with other procedures, 1.3% (12 of 885 patients), and neck dissection alone, 1.1% (6 of 534 patients). Bleeding developed in flap donor sites in 2 of 227 patients and followed miscellaneous procedures in 12 others. Thirty-one patients were treated by reexploration in the operating room, 13 had limited exploration on the ward and 10 were observed with no intervention. There was no difference in wound healing between the three treatment groups. However, mean hospital stay was shortest for patients who had wound exploration in the operating room, 6.2 days, for exploration on the ward, 10. 8 days, and 18.9 for those that were observed. Drains had no effect on wound healing or mean hospital stay.