先天性耳前瘘管感染期术中肉芽的处理方式研究  

Study on the management of granulation during surgery for congenital preauricular fistula infection stage

作　　者：肖祥 姜立学[3] 李利 董春光 韩加辉[1,2] XIAO Xiang;JIANG Lixue;LI Li;DONG Chunguang;HAN Jiahui(The First Affiliated Hospital of Kangda College of Nanjing Medical University,Lianyungang,222100,China;Department of Otolaryngology-Head and Neck Surgery,the First People's Hospital of Lianyungang City;Department of Otolaryngology-Head and Neck Surgery,Dongfang Hospital of Lianyungang City)

机构地区：[1]南京医科大学康达学院第一附属医院,江苏连云港222100 [2]连云港市第一人民医院耳鼻咽喉头颈外科 [3]连云港市东方医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第1期77-79,82,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨先天性耳前瘘管感染期术中对肉芽的处理方法及手术效果。方法:总结2018年1月至2022年9月收治的140例感染期先天性耳前瘘管患者的手术方法以及对肉芽的2种处理方法,随机分为观察组和对照组,观察组79例切除瘘管、对肉芽不予处理,对照组61例在切除瘘管的同时切除肉芽,术后随访半年,对伤口愈合、复发情况以及采用斯托尼布鲁克瘢痕评估量表评估肉芽愈合美观度。结果:140例感染期先天性耳前瘘管患者行以上2种手术方法切除,观察组与对照组的伤口愈合、复发情况比较,差异无统计学意义,观察组瘢痕更小。结论:感染期先天性耳前瘘管在手术切除瘘管的同时,无需切除肉芽,肉芽处均能良好愈合,且瘢痕反应更小。Objective To investigate the management of granulation tissue during surgery for infected congenital preauricular fistula and to assess the surgical outcomes.Methods To summarize the surgical methods and the treatment of granulation methods in 140 cases of congenital preauricular fistula during the period of infection treated in our department from January 2018 to September 2022.The study divided patients into an observation group(79 patients)undergoing fistulectomy without granulation treatment,and a control group(61 patients)where fistulectomy and granulation resection were performed concurrently..After six months of follow-up,the wound healing,recurrence rates,and the aesthetic assessment of granulation healing were evaluated using the Stony Brook Scar Evaluation Scale(SBSES).Results The two surgical approaches were applied to a total of 140 patients with infected congenital preauricular fistula.There was no statistical difference in wound healing and recurrence rates between the observation group and the control group.However,the observation group exhibited smaller scars.Conclusion In cases of infected congenital preauricular fistula,surgical removal without excising granulation tissue is feasible,leading to effective healing and lesser scar formation.

关 键 词：感染期 先天性耳前瘘管 肉芽处理 

分 类 号：R764.1[医药卫生—耳鼻咽喉科]