“|”形切口在耳甲腔成形术的应用  

Application of“|”Shaped Incision in Concha Plasty

作　　者：杨晶[1] 刘卓慧[1] 龙瑞清 YANG Jing;LIU Zhuo-hui;LONG Rui-qing(Dept.of Otolaryngology Head and Neck Surgery,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学第一附属医院耳鼻咽喉头颈外科,云南昆明650032

出　　处：《昆明医科大学学报》2021年第5期92-95,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81960187);云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目[2017FE468(-195)]。

摘　　要：目的探讨“|”形切口在耳甲腔成形术的疗效。方法将68例慢性化脓中耳炎、中耳胆脂瘤患者随机分为“|”形切口组39例和“Y”形切口组29例,比较两组的疗效。结果术后随访1 a,两组病例在术后眩晕、耳鸣、术腔肉芽发生率、术腔痂皮发生率,差异无统计学意义(P>0.05)。但术后干耳时间、上皮化时间、术后耳廓软骨膜炎,差异具有统计学意义(P<0.05)。结论“|”形切口耳甲腔成形术较“Y”形切口耳甲腔成形术在手术操作方面更简单易行,提高了手术疗效,值得推广应用。Objective To investigate the effect of"|"shaped incision on concha plasty.Methods 68 cases with chronic suppurative otitis media and middle ear cholesteatoma were randomly divided into two groups,with 39 cases in the"|"shaped incision group and 29 cases in the"Y"shaped incision group.Results The patients were followed up for 1 year.There was no significant difference in the incidence of postoperative vertigo,tinnitus,granulation and scab in the operation cavity between the two groups(all P>0.05).But there were statistically significant differences in dry ear time,epithelialization time and postoperative auricular perichondritis(P<0.05).Conclusion Compared with Y-shaped incision,concha plasty with"|"incision is more simple and easy to operate,which improves the curative effect of operation,and is worthy of promotion and application.

关 键 词：中耳炎 胆脂瘤 耳甲腔成形术 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]