显微镜下前壁软骨切除联合贯穿加压缝合治疗耳廓假性囊肿的疗效观察  

Observation on the Curative Effect of Anterior Wall Cartilage Resection Combined with Penetrating Compression Suture in the Treatment of Auricular Pseudocyst under Microscope

作　　者：唐朝明 谢敏 唐绍荣 Tang Chaoming(Department of Otolaryngology,Anyuan County People’s Hospital,Anyuan Jiangxi 342100)

机构地区：[1]安远县人民医院耳鼻喉科,江西安远342100

出　　处：《黑龙江医药》2024年第4期803-806,共4页Heilongjiang Medicine journal

基　　金：赣州市卫生健康委员会市级可研计划项目(编号:2023-2-122)。

摘　　要：目的:分析显微镜下前壁软骨切除+贯穿加压缝合对耳廓假性囊肿患者的治疗效果。方法:60例耳廓假性囊肿患者,均于2023年1月—2023年10月被本院收治,按随机数字表法分为两组,均30例。对照组行显微镜下前壁软骨切除联合传统包扎,观察组行显微镜下前壁软骨切除联合贯穿加压缝合。对比两组手术相关指标、疼痛程度、并发症、复发率。结果:观察组各手术相关指标均优于对照组;术后6、12、24h,观察组视觉模拟疼痛评分法(VAS)评分均低于对照组,有统计学差异(P<0.05);两组复发率比较,无统计学差异(P>0.05)。结论:显微镜下前壁软骨切除+贯穿加压缝合能减轻耳廓假性囊肿患者术后疼痛,且并发症发生率较低,有助于患者术后病情的快速转归,该治疗方案安全有效可靠,值得临床应用推广。Objective:To analyze the therapeutic effect of anterior wall cartilage resection combined with penetrating compression suture on patients with auricular pseudocyst under microscope.Methods:Sixty patients with pseudocysts of the auricle were admitted to our hospital from January 2023 to October 2023.They were randomly divided into two groups,with 30 cases in each group.The control group underwent microscopically anterior wall cartilage resection combined with traditional bandage,while the observation group underwent microscopically anterior wall cartilage resection combined with penetrating compression suture.The operation related indicators,pain degree,complications and recurrence rate of the two groups were compared.Results:the operation related indexes of the observation group were better than those of the control group;At 6,12,and 24h after operation,the visual analog pain scale(VAS)score of the observation group was lower than that of the control group,with statistical difference(P<0.05);There was no statistical difference in the recurrence rate between the two groups(P>0.05).Conclusion:Microscopically anterior wall cartilage resection+through compression suture can reduce the postoperative pain of patients with auricular pseudocyst,and the incidence of complications is low,which is helpful for the rapid postoperative prognosis of patients.This treatment scheme is safe,effective and reliable,and is worthy of clinical application and promotion.

关 键 词：耳廓假性囊肿 贯穿加压缝合 前壁软骨切除 并发症 复发率 耳廓肿胀 

分 类 号：R764.1[医药卫生—耳鼻咽喉科]