新冠病毒感染临床痊愈后人工耳蜗植入手术局部皮瓣炎性反应的变化  

Changes in Local Flap Inflammatory Reactions of Cochlear Implantation after Clinical Recovery of SARS-CoV-2 Infection

作　　者：刘勇智 赵媛媛 贾鑫 温家康 LIU Yong-zhi;ZHAO Yuan-yuan;JIA Xin;WEN Jia-kang

机构地区：[1]内蒙古自治区人民医院耳鼻喉科,呼和浩特010020

出　　处：《中国听力语言康复科学杂志》2024年第4期366-368,374,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：内蒙古自治区卫生健康科技计划项目(202201062)。

摘　　要：目的探讨新冠病毒感染与否与人工耳蜗植入手术局部皮瓣感染之间的相关性,了解新冠病毒感染对人工耳蜗植入手术的影响。方法回顾分析2020年5月~2023年3月我院接受人工耳蜗植入手术患者163人临床资料。对比研究组与对照组人工耳蜗植入术后局部皮瓣感染的差异。分组情况:(1)儿童组:年龄1~18岁,其中研究组44人,对照组64人。(2)成人组:年龄18~67岁,其中研究组31人,对照组24人。结果研究组发生皮瓣感染共10人,发生率13.33%(10/75),对照组2人,发生率2.27%(2/88)。两组比较具有显著性差异(P=0.017<0.05)。按年龄分层后儿童研究组发生皮瓣感染6人,发生率13.64%(6/44);对照组发生皮瓣感染1人,发生率1.56%(1/64)。儿童研究组与对照组之间有显著性差异(P=0.035<0.05)。成人研究组发生皮瓣感染4人,对照组1人。两组间未见显著性差异(P=0.519>0.05)。儿童研究组发生早期一般感染4人,感染率9.09%(4/44);远期严重感染2人,感染率4.55%(2/44)。儿童对照组有1人发生早期一般感染,感染率1.56%(1/64);无早期和远期的严重感染。成人研究组早期一般感染3人,发生率9.67%(3/31);远期严重感染1人,发生率3.23%(1/31)。成人对照组有1例早期一般感染,发生率4.17%(1/24);无早期和远期的严重感染。研究组和对照组之间,不同年龄组之间,感染发生时间和皮瓣感染程度均无显著性差异(P>0.05)。结论新冠病毒感染增加了人工耳蜗植入手术患者术后出现局部皮瓣感染的风险,且在儿童中该风险相对更高。Objective To explore the correlation between SARS-CoV-2 infection and local flap infection in cochlear implantation surgery,so as to understand the impact of novel coronavirus infection on cochlear implantation surgery.Methods A retrospective analysis of 163 patients(divided into children and adults)who underwent cochlear implant surgery in our hospital from May 2020 to March 2023.Compare the differences between the study group(patients who have been infected with SARS-CoV-2)and the control group(uninfected patients)with local flap infection after cochlear implantation.The groups:(1)For Children's group of 1-18 years old,there were 44 in the study group and 64 in the control group.(2)Adult group:18-67 years old,including 31 in the research group and 24 in the control group.Results There were 10 people with flap infection in the study group,with a incidence of 13.33%(10/75);while there were only 2 people in the control group,with a incidence of 2.27%(2/88).There is a significant difference between the two groups(P=0.017<0.05).After stratification by age,6 people with skin flap infection occurred in the children's research group,with a incidence of 13.64%(6/44);only 1 person with flap infection in the control group had 1.56%(1/64);therefore,there was a significant difference between the study group and the control group in children(P=0.035<0.05).In adults,4 people in the study group had skin flap infection and 1 person in the control group;there was no significant difference between the two groups(P=0.519>0.05).The degree of skin flap infection and the time of infection were analyzed.1.In the study group,4 children were generally infected in the early stage,with an infection rate of 9.09%(4/44);2 people with long-term severe infection,with an infection rate of 4.55%(2/44).Only one person in the child control group had an early general infection,with an infection rate of 1.56%(1/64);there was no early and long-term serious infection.2.The adult research group generally infected 3 people in the early stage,with an in

关 键 词：新型冠状病毒感染 人工耳蜗植入手术 局部皮瓣感染 植入体取出 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]