耳前组织整块切除术治疗难治性耳前瘘管患者的效果  

Effects of En bloc resection of preauricular tissue in treatment of patients with refractory preauricular fistula

作　　者：邓文蓉 DENG Wenrong(Otorhinolaryngology Head and Neck Surgery of Hengyang Central Hospital,Hengyang 421001 Hunan,China)

机构地区：[1]衡阳市中心医院耳鼻喉头颈外科,湖南衡阳421001

出　　处：《中国民康医学》2024年第10期57-59,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察耳前组织整块切除术治疗难治性耳前瘘管患者的效果。方法:选取2022年5月至2023年5月该院收治的60例难治性耳前瘘管患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各30例。对照组采用瘘管切除术治疗,研究组采用耳前组织整块切除术治疗。比较两组临床疗效,症状消失时间,手术前后炎性指标[C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)]水平,并发症发生率,以及复发率。结果:研究组治疗总有效率为96.67%(29/30),高于对照组的70.00%(21/30),差异有统计学意义(P<0.05);研究组红肿消失时间、脓腔消失时间、疼痛消失时间均短于对照组,差异有统计学意义(P<0.05);术后7 d,研究组CRP、TNF-α水平均低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为6.67%(2/30),低于对照组的33.33%(10/30),差异有统计学意义(P<0.05);研究组复发率为6.67%(2/30),低于对照组的26.67%(8/30),差异有统计学意义(P<0.05)。结论:耳前组织整块切除术治疗难治性耳前瘘管患者可提高治疗总有效率,缩短症状消失时间,降低炎性指标水平、并发症发生率和复发率,效果优于瘘管切除术治疗。Objective:To observe effects of En bloc resection of preauricular tissue in treatment of patients with refractory preauricular fistula.Methods:A prospective study was conducted on 60 patients with refractory preauricular fistula admitted to the hospital from May 2022 to May 2023.According to the random number table method,they were divided into control group and study group,30 cases in each group.The control group was treated with fistulectomy,while the study group was treated with En bloc resection of preauricular tissue.The clinical efficacy,the symptom disappearance time,the levels of inflammatory indexes[C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)]before and after the surgery,the incidence of complications,and the recurrence rate were compared between the two groups.Results:The total effective rate of treatment in the study group was 96.67%(29/30),which was higher than 70.00%(21/30)in the control group,and the difference was statistically significant(P<0.05).The disappearance time of redness and swelling,the disappearance time of abscess cavity and the disappearance time of pain in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).7 days after the surgery,the levels of CRP and TNF-αin the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 6.67%(2/30),which was lower than 33.33%(10/30)in the control group,and the difference was statistically significant(P<0.05).Further,the recurrence rate of the study group was 6.67%(2/30),which was lower than 26.67%(8/30)of the control group,and the difference was statistically significant(P<0.05).Conclusions:En bloc resection of preauricular tissue in the treatment of the refractory preauricular fistula patients can improve the total effective rate of treatment,shorten the symptom disappearance time,and reduce the levels of inflammatory indicators,the incidence of complications

关 键 词：难治性耳前瘘管 耳前组织整块切除术 瘘管切除术 症状 并发症 复发率 

分 类 号：R764[医药卫生—耳鼻咽喉科]