手术治疗先天性耳前瘘管感染期的临床及美学效果观察  

Clinical and aesthetic effects of surgical treatment on congenital preauricular fistula at infective stage

作　　者：简洁君[1] 李国义[1] 李妮[1] 

机构地区：[1]湖北医药学院附属太和医院耳鼻咽喉头颈外科,湖北十堰442000

出　　处：《西南国防医药》2016年第10期1187-1189,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨手术治疗先天性耳前瘘管感染期的临床及其美学效果。方法选取我院接诊的先天性耳前瘘管感染期患者50例作为研究组,同期接诊的非感染期先天性耳前瘘管患者40例作为对照组,均实施手术治疗,手术方式根据病灶情况确定(从瘘口到病灶周围实施长梭形切口:研究组38例,对照组33;瘘口和脓肿各做一切口:研究组12例,对照组7例),对比分析两组临床治疗效果、随访1年复发率及患者对耳部美观满意率。结果两组切口全部愈合,组间愈合率比较无统计学差异(P>0.05),且Ⅰ期愈合率与Ⅱ期愈合率组间差异比较也无统计学意义(P>0.05);研究组随访1年复发率为6.00%,对照组则为5.00%,组间差异比较无统计学意义(P>0.05);两组对耳部美观总满意率均达到97.0%以上,组间比较统计学显差异(P>0.05)。结论先天性耳前瘘管感染期患者可以立刻实施手术治疗,而无需等到感染治愈或者消退后再手术,疗效明显,患者满意率高,值得借鉴。Objective To explore the clinical and aesthetic effects of surgical treatment on congenital preauricular fistula at infective stage. Methods A total of 50 patients with congenital preanricular fistula at infective stage admitted to our hospital were selected to constitute a study group and another 40 patients with congenital preauricular fistula but not at infective stage admitted in the same period constitute a control group. The two groups were treated with surgery, and the surgical options were finalized according to the conditions of the lesion （long fusiform incision from the fistula to peripheral lesion： 38 cases in the study group and 33 cases in the control group; incision on the fistula and the abscess respectively： 12 cases in the study group and 7 cases in the control group） in order to compare and analysis the clinical effects, the recurrence rate during the one-year follow-up visit and the satisfaction of patients on aural aesthetics in the two groups. Results All the incisions in the two groups healed; there was no significant difference in the healing rate between the two groups （P 〉 0.05）; the difference in the healing rate of stages Ⅰ and Ⅱ between the groups has no statistical significance （P 〉 0.05）; the recurrence rate during the one-year follow-up visit was 6.00% in the study group and 5.00% in the control group, showing no great difference （P 〉 0.05）; the satisfaction of patients on aural aesthetics in the two groups was above 97.0%, showing no significant difference （P 〉 0.05）. Conclusiton Patients with congenital preauricular fistula at infective stage can receive surgical treatment immediately but need not wait for the cure or regression of infection. The effects are obvious and the patients are high satisfied. This method can be applied for reference.

关 键 词：先天性 耳前瘘管 感染期 手术 复发率 效果 

分 类 号：R635[医药卫生—外科学]