感染期复发性耳前瘘管手术的疗效分析  

Analysis of Curative Effect of Recurrent Preauricular Fistula Surgery during Infection

作　　者：黄金樵[1] 陈秀芬 胡伟群[1] 潘志勇[1] HUANG Jinjiao;CHEN Xiufen;HU Weiqun;PAN Zhiyong(Department of Otolaryngology,the Affiliated Hospital of Putian University,Putian,Fujian Province,351100 China)

机构地区：[1]莆田学院附属医院耳鼻咽喉科,福建莆田351100

出　　处：《中外医疗》2021年第31期53-56,共4页China & Foreign Medical Treatment

基　　金：莆田学院科研基金项目(2016054)。

摘　　要：目的探究感染期复发性耳前瘘管手术切除的疗效。方法便利选取该院于2016年6月—2019年12月收治的复发性耳前瘘管患者共78例,分为3组,即A组25例感染期复发性耳前瘘管和B组27例非感染期复发性耳前瘘管,两组均采用颞浅筋膜外耳前组织扩大切除术;C组26例感染期复发性耳前瘘管通过传统的方法,即反复切开排脓术后,再择期采用传统根治术。比较3组的疗效。结果A组、B组的治愈率分别为96.00%和96.30%,C组的治愈率为65.38%。A组和B组的治愈率比较,差异无统计学意义(χ^(2)=0.000,P=1.000);A组和C组的治愈率比较,差异有统计学意义(χ^(2)=5.761,P=0.016);B组和C组的治愈率比较,差异有统计学意义(χ^(2)=6.372,P=0.012)。结论感染期复发性耳前瘘管可考虑尽早手术,颞浅筋膜外耳前组织扩大切除术式疗效好,复发率低。Objective To investigate the effect of surgical resection of infected recurrent preauricular fistula.Methods A total of 78 patients with recurrent preauricular fistula admitted to the hospital from June 2016 to December 2019 were conveniently selected and divided into 3 groups.Namely,there were 25 cases of recurrent preauricular fistula in group A and 27 cases of recurrent preauricular fistula during non-infection period in group A.Both groups underwent enlarged excision of superficial temporal fascia and anterior ear tissue.26 cases of recurrent preauricular fistula during infection in group C were treated with traditional methods,namely repeated incision and drainage,and then elective traditional radical mastectomy.Analyzed and compared the efficacy between the 3 groups.Results The cure rates of group A and group B were 96.00%and 96.30%,respectively,and the cure rate of group C was 65.38%.There was no statistically significant difference in the cure rate between group A and group B(χ^(2)=0.000,P=1.000).There was a statistically significant difference in the cure rate between group A and group C(χ^(2)=5.761,P=0.016).There was a statistically significant difference in the cure rate between group B and group C(χ^(2)=6.372,P=0.012).Conclusion For recurrent preauricular fistulas during the infection period,surgery can be considered as soon as possible.The expanded resection of superficial temporal fascia and anterior auricular tissue has good curative effect and low recurrence rate.

关 键 词：耳前瘘管 感染 扩大切除 复发 

分 类 号：R764.71[医药卫生—耳鼻咽喉科]