囊内划痕综合治疗耳郭假性囊肿96例临床分析  

Analysis of intracapsular scratch method in treating 96 patients with pseudocyst of the auricle

作　　者：陈丽艳[1] 包景传 王强[3] 孙岩[3] 宋西成[3] 

机构地区：[1]烟台毓璜顶医院莱山分院耳鼻喉科,山东烟台264003 [2]栖霞市人民医院耳鼻喉科,山东栖霞265300 [3]烟台毓璜顶医院耳鼻咽喉头颈外科,山东烟台264000

出　　处：《山东大学耳鼻喉眼学报》2011年第2期32-33,40,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨囊内划痕综合治疗耳郭假性囊肿的方法和疗效。方法对96例耳郭假性囊肿（其中23例为在外院进行过其他治疗的复发者）采用囊内划痕、穿刺抽液、曲安奈德注射液囊内冲洗加石膏固定方法进行治疗。结果随访6～12个月，94例疗效满意，术后无复发、感染及耳郭畸形。2例分别于术后2周和3周复发，行2次囊内划痕处理后治愈。结论囊内划痕综合治疗法创伤小，充分囊内划痕可以达到对囊内壁的确切破坏，长时间减少囊液渗出；同时使囊肿前后壁紧贴，囊内壁划痕创伤处黏连愈合。Objective To discuss the methodology and effect of intra-capsular scratching in treating pseudocyst of the auricle. Methods 96 patients with pseudocyst of the auricle （23 of them suffered relapses after being treated with dif- ferent methods in other hospitals） underwent intracapsular scratching, tapping, triamcinolone injection and washing as well as plaster casting. Results After 6 to 12 months following-up, a satisfactory curative effect was obtained and no relapse, infection or ear deformity was found in 94 patients. 2 patients suffered a relapse 2 weeks and 3 weeks after the treatment respectively, and were cured after a second intracapsular scratching. Conclusions The intracapsular scratching method has less trauma, and full intracapsular scratching can destroy the in-wall, decrease the effusion, and ensure adhesions between the inner walls.

关 键 词：耳郭假性囊肿 囊内划痕 治疗 

分 类 号：R764.91[医药卫生—耳鼻咽喉科]