持续负压引流装置在先天性小耳畸形耳廓再造术后引流中的应用效果及安全性  

Application effects and safety of continuous negative pressure drainage device in postoperative drainage of congenital microtia reconstruction of auricle

作　　者：商月 苏学尚 窦茂梅 田玫 Shang Yue;Su Xueshang;Dou Maomei;Tian Mei(Department of Auricular Reconstruction,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China;Department of Cicatrix Minimally Invasive Treatment Center,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院、北京协和医学院、整形外科医院外耳整形再造科,北京100144 [2]中国医学科学院、北京协和医学院、整形外科医院瘢痕微创治疗中心,北京100144

出　　处：《中华医学美学美容杂志》2025年第1期24-29,共6页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：国家自然科学基金(81701930)。

摘　　要：目的:分析持续负压引流装置在先天性小耳畸形耳廓再造术后引流中的应用效果及安全性。方法:回顾性纳入2018年1月至2021年8月中国医学科学院北京协和医学院整形外科医院先天性小耳畸形患者1211例。所有患者均接受耳廓再造术,根据选择的负压引流装置不同分为研究组和对照组。研究组624例,其中男315例,女309例,年龄6~24(15.1±2.2)岁;对照组587例,其中男286例,女301例,年龄5~23(14.7±2.3)岁。研究组采用持续负压引流装置引流,对照组采用常规负压引流注射器引流。比较两组患者术前及术后1、7 d改良耶鲁围手术期焦虑量表(mYPAS)评分以及术后3 d生活质量评分(包括功能活动、自我形象、心理健康、满意度、疼痛度)。术后4、8、12、16周随访,比较两组患者的手术瘢痕面积。记录两组患者术后12周内不良反应发生率。结果:两组患者术前的mYPAS评分差异无统计学意义(P=0.897);术后1、7 d的mYPAS评分均低于术前(均P<0.05),且研究组各时间点mYPAS评分均低于对照组(均P<0.001)。研究组患者的功能活动、自我形象、心理健康、满意度评分均高于对照组(均P<0.001),疼痛度评分低于对照组(P<0.001)。术后4、8、12、16周随访,研究组各时间点手术瘢痕面积均低于对照组(均P<0.001)。研究组术后12周内不良反应发生率为9.0%(56/624),低于对照组的19.4%(114/587)(P<0.001)。结论:先天性小耳畸形行耳廓再造术后应用持续负压引流装置效果更好,可降低术后不良反应发生率。Objective To analyze the application effects and safety of continuous negative pressure drainage devices in postoperative drainage of congenital microtia reconstruction of auricle.Methods A retrospective study was conducted,including 1211 patients with congenital microtia treated at the Plastic Surgery Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College from January 2018 to August 2021.All patients underwent auricular reconstruction surgery and were divided into two groups based on the type of negative pressure drainage device used.The study group consisted of 624 patients[315 males and 309 females,aged 6-24(15.1±2.2)years],while the control group consisted of 587 patients[286 males and 301 females,aged 5-23(14.7±2.3)years].The study group used a novel negative pressure drainage ball,while the control group used a conventional negative pressure syringe for drainage.The preoperative and postoperative 1,7 days scores of the modified Yale preoperative anxiety scale(mYPAS)and the quality of life scores postoperative 3 days(including functional activity,self-image,psychological health,satisfaction and pain)were compared between the two groups.All patients were followed up at 4,8,12,and 16 weeks postoperatively to compare the surgical scar area between the two groups.The incidence of adverse reactions within 12 weeks after surgery in two groups were recorded.Results There was no significant difference in preoperative mYPAS scores between the two groups(P=0.897).The mYPAS scores at 1 and 7 days after surgery were lower than the preoperative scores in both groups(all P<0.05),and the study group had significantly lower mYPAS scores at all time points than those of the control group(all P<0.001).The study group had higher scores in functional activity,self-image,psychological health,and satisfaction than those of the control group(all P<0.001),and a lower pain score than that of the control group(P<0.001).Follow-up at 4,8,12,and 16 weeks showed that the surgical scar area was significantly sm

关 键 词：先天性小耳畸形 持续负压引流装置 耳廓再造术 效果 

分 类 号：R47[医药卫生—护理学]