耳廓外伤39例的修复整形  

Restoration and plastics of 39 cases withauricle trauma

作　　者：全世明 王昱 徐佳 童德迪[3] 温春泉[4] QUAN Shiming;WANG Yu;XU Jia;TONG Dedi;WEN Chunquan(Department of Otolaryngology,The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Department ofGeneral Surgery,The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Hand Surgery,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Burns and Plastic Surgery,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京中医药大学第三附属医院耳鼻咽喉科,北京100029 [2]北京中医药大学第三附属医院普通外科,北京100029 [3]北京积水潭医院手外科,北京100035 [4]北京积水潭医院烧伤整形科,北京100035

出　　处：《安徽医药》2020年第12期2371-2373,I0002,共4页Anhui Medical and Pharmaceutical Journal

基　　金：国家卫生健康委能力建设和继续教育中心2019年专项基金资助项目(GWJJ2019100303)。

摘　　要：目的探讨耳廓外伤的急诊处理及整形修复方法等。方法对北京积水潭医院自2008年1月至2017年12月期间,39例耳廓外伤住院病例进行统计分析。包括年龄、性别、致伤原因、损伤程度及分类、就诊时间、手术方式、愈合时间、愈合情况等。结果Ⅰ期行清创缝合术29例、清创缝合术+皮片移植6例、清创缝合术+显微血管吻合术4例等,其中31例为Ⅰ期愈合,耳廓外形满意。另6例Ⅱ期愈合,2例失访。结论及时就诊、依损伤程度设计适当的手术修复方案、预防和控制感染、严格无菌操作及换药、综合治疗是提高耳廓外伤治愈率的关键。Objective To explore the methods of emergency treatment and plastic repair of the open trauma of the auricle.Meth⁃ods Thirty⁃ninepatients with open wounded auricle hospitalized in Beijing Jishuitan Hospital from January 2008 to December 2017 were selected for the study.Analysis was made of age,sex,cause of trauma,degree of injury and classification,time for emergency treatment,surgical options,healing time,and healing conditions of these cases.Results Twenty⁃nine cases underwent debridement and suture,6 cases debridement and suture plus skin graft,and 4 cases debridement and suture plus microvascular anastomosis.To⁃tally 31 cases healed by first intention with satisfactory auricle shape.The other 6 cases healed in stageⅡand 2 cases were lost.Conclusion The keys to improving the cure rate of auricle trauma are timely consultation,appropriate surgical repair plan accord⁃ing to the degree of injury,prevention and control of infection,strict aseptic operation,dressing change and comprehensive treatment.

关 键 词：创伤和损伤 耳廓 外伤 皮肤移植 外科 整形 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]