复杂先天性耳前瘘管手术治疗体会

doi:10.6040/j.issn.1673-3770.0.2016.382

摘要/Abstract

摘要： 目的探讨复杂先天性耳前瘘管的手术治疗方法,为临床治疗提供参考。方法对2011年5月至2016年5月期间住院治疗的复杂先天性耳前瘘管患者71例(80耳)的临床资料进行回顾性分析。结果所有病例均于术耳感染控制后1周以上再行手术,术中均采用整块组织切除原则进行手术。术后随访3个月~5年, 78耳(97.5%)未复发,仅2耳(2.5%)术后复发并经再次手术后治愈。另有1耳(1.25%)术后第4天出现切口缝线感染,经伤口换药及抗感染治疗后治愈。结论合适手术时机的选择、手术界限的精准确定及病变组织的整体切除有利于彻底切除复杂先天性耳前瘘管病变并降低复发率。

关键词: 外科手术, 先天性耳前瘘管

Abstract: Objective To explore the surgical methods for complicated congenital preauricular fistula, so as to provide references for clinical treatment. Methods The clinical data of 71(80 ears)patients with complicated congenital preauricular fistula who were hospitalized in our hospital from May 2011 to May 2016 were retrospectively analyzed. Results All patients received surgery by secreting the whole tissue 1 week after the affected ear infection was controlled. The patients were postoperatively followed up for 3 monts-5 years, and 78 ears(97.5%)showed no recurrence, while only 2 ears(2.5%)recurred postoperatively and were cured by secondary surgery. Another 1 ear(1.25%)had incision suture infection on d4 after operation, which was cured after wound dressing change and anti-infection treatment. Conclusion Selection of proper surgical time, precise determination of surgical boundary and resection of the whole lesion tissues are beneficial to the radical resection of complicated congenital preauricular fistula and the reduction of recurrence rate.

Key words: Surgical procedures, operative, Congenital preauricular fistula

中图分类号:

R764.9

易星,吴学文,梅凌云,贺楚峰,蒋璐,蔡鑫章,田湘娥,冯永. 复杂先天性耳前瘘管手术治疗体会[J]. 山东大学耳鼻喉眼学报, 2017, 31(3): 64-67.

YI Xing, WU Xuewen, MEI Lingyun, HE Chufeng, JIANG Lu, CAI Xinzhang, TIAN Xiange, FENG Yong. Experiences of surgical treatment of complicated congenital preauricular fistula.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 64-67.

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