山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (3): 125-128.doi: 10.6040/j.issn.1673-3770.0.2019.551

• 论著 • 上一篇    下一篇

负压引流装置在小耳畸形患者皮肤扩张法耳郭再造二期手术中的应用

苏法仁,刘玉红,薄琳,刘新刚   

  1. 武警山东总队医院 中国武警外耳再造中心, 山东 济南 250014
  • 发布日期:2020-06-29
  • 通讯作者: 苏法仁. E-mail: sufaren683@sina.com

A negative pressure drainage device for dermal dilatation of microtia in the second phase of auricular reconstruction surgery

SU Faren, LIU Yuhong, BO Lin, LIU Xingang   

  1. Auricle Reconstruction Center, Shandong Provincial Corps Hospital, Chinese People's Armed Police Force, Jinan 250014, Shandong, China
  • Published:2020-06-29

摘要: 目的 探讨一种负压引流装置在皮肤扩张法耳郭再造二期手术中的临床应用效果。 方法 收集420例需要外耳再造的小耳畸形患者,应用皮肤扩张器植入法加自体肋软骨移植行耳郭再造术。按照术后引流方式随机分为两组:实验组(290例)采用专用负压引流装置;对照组(130例)常规放置一根负压引流管。比较两组患者皮下血肿的发生率并作统计学分析。 结果 与对照组相比,应用专用负压引流装置组皮下血肿发生率较低,差异有统计学意义(P<0.05)。 结论 在小耳畸形皮肤扩张法耳郭再造二期手术中,应用此负压引流装置可以有效防止术腔血肿,值得临床推广应用。

关键词: 负压引流, 先天性小耳畸形, 外耳再造

Abstract: Objective The objective of this study was to introduce a negative pressure drainage device for dermal dilatation of microtia during the second phase of auricular reconstruction surgery. Methods A total of 420 patients with microtia who required skin expander implantation and cartilage framework grafts for auricular reconstruction were included in the study and randomly divided into two groups according to postoperative drainage. The study group used a special negative pressure drainage device(n=290)and a negative pressure drainage tube was placed routinely in the control group(n=130). We statistically compared the rates of subcutaneous hematoma formation between the two groups. Results In the study group, subcutaneous hematomas were less frequent than in the control group(P<0.05). Conclusions The special negative pressure drainage device effectively prevented subcutaneous hematomas during dermal dilatation of microtia in the second phase of auricular reconstruction surgery. This device is widely used clinically.

Key words: Negative pressure drainage, Congenital microtia, Auricular reconstruction

中图分类号: 

  • R764.7
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[1] 薄琳,刘新刚,刘玉红,苏法仁. 扩张皮瓣加筋膜瓣“两瓣法”在小耳畸形患者耳郭再造中的应用[J]. 山东大学耳鼻喉眼学报, 2019, 33(6): 49-51.
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[3] 薄琳,苏法仁,丁静华. 负压引流技术在外耳再造中的临床应用[J]. 山东大学耳鼻喉眼学报, 2011, 25(6): 43-.
[4] 崔新华,王启荣,韩飞,古林涛. 耳郭外伤163例[J]. 山东大学耳鼻喉眼学报, 2010, 24(2): 24-.
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