脓肿期耳前瘘管一期瘘管切除与切排后延期瘘管切除的疗效比较  

Comparison of the Outcomes Between One-Stage Surgical Treatment and Conventional Delayed Surgery for Infected Preauricular Sinus with Abscess Formation

作　　者：陈金辉[1] 章哪哪 蒲明 杨蕊[1] 王永平[1] 章薇[1] 华清泉[1] 陶泽璋[1] 

机构地区：[1]武汉大学人民医院耳鼻咽喉头颈外科,湖北武汉430060 [2]武汉普爱医院耳鼻咽喉头颈外科,湖北武汉430032 [3]武当山旅游经济特区医院耳鼻咽喉头颈外科,湖北十堰441900

出　　处：《武汉大学学报（医学版）》2013年第5期724-726,729,共4页Medical Journal of Wuhan University

摘　　要：目的:通过对脓肿期耳前瘘管患者行一期瘘管切除或切排后延期瘘管切除疗效观察,探讨脓肿期耳前瘘管的最佳治疗方案。方法:将64例脓肿期耳前瘘管患者随机分成一期瘘管切除组(简称一期手术组)和脓肿切排炎症控制后瘘管切除组(简称延期手术组),观察伤口愈合时间及瘘管感染复发情况。结果:两组患者在年龄、性别上分布均衡,差异无统计学意义(P均>0.05)。延期手术组患者伤口愈合时间中位数为20d,一期手术组患者伤口愈合时间中位数为14.5d,差异有统计学意义(Z=-5.89,P<0.01)。随访时间7-26个月,无失访病例,两组均无瘘管感染复发病例。结论:脓肿期耳前瘘管行一期瘘管切除较脓肿切排后延期瘘管切除外科修复时间更短,可能避免瘘管感染复发,可作为首选治疗方案。Objective： To evaluate the outcomes of one-stage surgery of infected preauricular sinus with abscess formation, and to compare it with conventional delayed surgery after infection control. Methods： The trial were randomized-controlled designed. Sixty four patients with preauricular si- nus with abscess were randomly divided into one-stage surgery group and conventional group. The surgical outcomes of two groups were documented during an observation period. Results： By balanced test, there were no differences in age and gender （P〈0. 05）. The follow-up periodranged from 7 to 26 months, and no recurrence was found. The time of wound healing were 14.5 and 20 days respectively in one-stage surgery group and conventional group （Z=- 5. 89,P〈 0.01）. Conclusion： One-stage surgical treatment for infected preauricular sinus with abscess for- mation may reduce treatment time and prevent recurrence when compared with conventional de- layed surgery after infection control.

关 键 词：耳前瘘管 脓肿 手术 

分 类 号：R764.7[医药卫生—耳鼻咽喉科]