耳廓开放性外伤治疗方法探析  

Treatment for Open Injury of Ear Auricle

作　　者：李莹[1] 刘波[1] 

机构地区：[1]西安市红十字会医院耳鼻喉头颈外科,710054

出　　处：《美中国际创伤杂志》2012年第2期25-26,共2页U.S.Chinese International Journal of Traumatology

摘　　要：目的：探讨耳廓开放性外伤的治疗方法。方法：23耳耳廓开放性外伤经彻底清创，肝素生理盐水冲洗伤口后，对位缝合。术后用抗生素抗感染，丹参扩张血管，罂粟碱改善微循环。结果：23耳中，2耳失访，18耳完全成活，1耳部分成活，2耳完全坏死。结论：耳廓撕裂伤，断伤，带有皮蒂的耳廓离断伤，由于断端双侧血管丰富，经对位缝合后容易成活。但耳廓完全离断伤由于缺乏血供，经对位缝合后不易成活，可采用去皮血管植入包埋法，带肌蒂皮瓣移植法或尝试显微外科技术施行血管吻合，以提高耳廓完全离断伤的损伤的成活率。Objective： To investigate the treatment method of open injury of ear auricle. Methods： 23 patients with open injury of ear auricle underwent the procedures of thoroughly wound debridement, irrigation of wound with heparin saline and apposition suture. After operation, all patients were treated with antibiotics to prevent infection, danshen root to expand blood vessel and papaverine to improve microcirculation. Restilts： Among 23 patients, ears completely survived in 18 cases, partially survived in 1 case and complete necrosis was noted in 2 cases except 2 cases were lost in visit. Conclusion： Partial injury of ear auricle is easy to survive after apposition suture as its plentiful blood vessel on the end of the wound. But for fully mutilation of ear, peeled blood vessel implantation and embedding method, pedicle skin flap transplantation or vascular anastomosis by microsurgical technique is require to be used to improve the survival rate of impaired ears.

关 键 词：耳廓 开放性外伤 治疗 

分 类 号：R764.81[医药卫生—耳鼻咽喉科]