便携式可视拉钩在耳后皮肤扩张术中的应用  

Clinical application of portable visual retractor in postauricular skin expansion

作　　者：舒军 徐亦驰 牛泽浩 陈犹白[1] 韩愚弟 柴密[1] 靳睿 韩岩[1] 陶然[1] SHU Jun;XU Yi-chi;NIU Ze-hao;CHEN You-bai;HAN Yu-di;CHAI Mi;JIN Rui;HAN Yan;TAO Ran(Department of Plastic Surgery,The First Clinical Medical Center of PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心整形修复科,北京100853

出　　处：《中国美容整形外科杂志》2021年第12期733-736,共4页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨便携式可视拉钩在先天性小耳畸形患者耳后扩张器置入术中的临床效果。方法回顾自2019年1月至2020年11月,中国人民解放军总医院第一医学中心整形修复科收治的50例耳后扩张器置入术患者,共实施56次耳后扩张器置入术,按照手术辅助方式分为冷光源拉钩组和可视拉钩组,统计两组患者手术切口长度、手术时间、术中出血量、术后引流量、术后引流天数。对数据进行χ^(2)检验、两独立样本t检验和t’检验、Wilcoxon秩和检验分析。结果两组患者手术均顺利。可视拉钩组切口长度为3.0(3.0,3.0)cm,明显短于冷光源拉钩组3.5(3.0,4.0)cm,P<0.05。可视拉钩组手术时间为(65.6±10.2)min,明显短于冷光源拉钩组(77.1±14.9)min,P<0.05。可视拉钩组术后引流量为41.5(35.5,43.5)ml,明显少于冷光源拉钩组54.5(46.5,59.0)ml,P<0.05。可视拉钩组与冷光源拉钩组术中出血量分别为25.0(20.0,30.0)、25.0(20.0,30.0)ml,其差异无统计学意义(T=709.0,P>0.05)。便携式可视拉钩组术后引流天数为(5.6±1.5)d,明显短于冷光源拉钩组(7.6±1.8)d,P<0.05。结论便携式可视拉钩用于耳后扩张器置入术可解决冷光源辅助下术野显露不充分、止血不彻底的缺点,同时具有手术切口较小、手术耗时较短、术后出血较少等优点,是较理想的耳后扩张器置入术辅助工具。Objective To explore the clinical efficacy of portable visual retractor in postauricular dilator placement in patients with congenital microtia.Methods From January 2019 to November 2020,50 patients underwent postauricular dilator placement in the Department of Plastic Surgery of The First Clinical Medical Center of PLA General Hospital were reviewed.A total of 56 cases of postauricular dilator placement were performed.All patients were divided into cold light source retractor group and portable visual retractor group according to the surgical assistant method.The surgical incision length,operation time,intraoperative blood loss,postoperative drainage volume and days were counted in both groups.The data were analyzed by chi-square test,two independent samples t-test and t’-test and Wilcoxon rank sum test.Results All patients were successfully completed the operation.The incision length of portable visual retractor group was 3.0(3.0,3.0)cm,which significantly shorter than cold light source retractor group of 3.5(3.0,4.0)cm,P<0.05.The operation time was(65.6±10.2)min in portable visual retractor group,which significantly shorter than cold light source retractor group of(77.1±14.9)min,P<0.05.The postoperative drainage volume of portable visual retractor group was 41.5(35.5,43.5)ml,which significantly less than cold light retractor group of 54.5(46.5,59.0)ml,P<0.05.The intraoperative blood loss of both portable visual retractor group and cold light source retractor group was 25.0(20.0,30.0)ml(T=709.0,P>0.05).The postoperative drainage days were(5.6±1.5)days in portable visual retractor group,which significantly shorter than cold light source retractor group of(7.6±1.8)days,P<0.05.Conclusion Portable visual retractor for postauricular dilator placement can solve the disadvantages of insufficient exposure of surgical field and incomplete hemostasis assisted by cold light source,and has the advantages of small surgical incision,short operation time and less postoperative bleeding.Therefore,the portable visual retr

关 键 词：皮肤软组织扩张术 耳后扩张器置入术 小耳畸形 可视拉钩 外科手术 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]