山东大学耳鼻喉眼学报 ›› 2011, Vol. 25 ›› Issue (2): 32-.

• 论文 • 上一篇    下一篇

囊内划痕综合治疗耳郭假性囊肿96例临床分析

陈丽艳1,包景传2,王强3,孙岩3,宋西成3   

  1. 1.烟台毓璜顶医院莱山分院耳鼻喉科, 山东 烟台 264003;2.栖霞市人民医院耳鼻喉科, 山东 栖霞 265300;
    3.烟台毓璜顶医院耳鼻咽喉头颈外科, 山东 烟台 264000
  • 收稿日期:2011-01-17 修回日期:2011-02-02 出版日期:2011-04-16 发布日期:2011-04-16
  • 通讯作者: 宋西成(1970- ),男,博士,主任医师,硕士生导师,主要从事头颈肿瘤及内镜鼻颅底外科研究。Email:songxicheng@126.com
  • 作者简介:陈丽艳(1972- ),女,主治医师,主要从事耳鼻喉疾病的临床研究。 Email:ytchenliyan@163.com

Analysis of intracapsular scratch method in treating  96 patients with pseudocyst of the auricle

CHEN Li-yan1, BAO Jing-chuan2, WANG Qiang3, SUN Yan3, SONG Xi-cheng3   

  1. 1. Department of Otorhinolaryngology, Laishan Branch of Yantai Yuhuangding Hospital, Qixia 264003, Shandong, China;
    2. Department of Otorhinolaryngology, Qixia People′ s Hospital, Yantai 265300, Shandong, China;
    3. Department of Otolaryngology and Head & Neck Surgery, Yantai Yuhuangding Hospital, Yantai 264000, Shandong, China
  • Received:2011-01-17 Revised:2011-02-02 Online:2011-04-16 Published:2011-04-16

摘要:

目的    探讨囊内划痕综合治疗耳郭假性囊肿的方法和疗效。方法    对96例耳郭假性囊肿(其中23例为在外院进行过其他治疗的复发者)采用囊内划痕、穿刺抽液、曲安奈德注射液囊内冲洗加石膏固定方法进行治疗。结果    随访6~12个月,94例疗效满意,术后无复发、感染及耳郭畸形。2例分别于术后2周和3周复发,行2次囊内划痕处理后治愈。结论    囊内划痕综合治疗法创伤小,充分囊内划痕可以达到对囊内壁的确切破坏,长时间减少囊液渗出;同时使囊肿前后壁紧贴,囊内壁划痕创伤处黏连愈合。

关键词: 耳郭假性囊肿;囊内划痕;治疗

Abstract:

Objective     To discuss the methodology and effect of intra-capsular scratching in treating pseudocyst of the auricle. Methods    96 patients with pseudocyst of the auricle (23 of them suffered relapses after being  treated with different  methods in other hospitals) underwent  intracapsular scratching, tapping, triamcinolone injection and washing as well as plaster casting. Results    After 6 to 12 months following-up, a satisfactory curative effect was obtained and no relapse, infection or ear deformity was found in 94 patients. 2 patients suffered a relapse 2 weeks and 3 weeks after the treatment respectively, and were cured after a second intracapsular scratching. Conclusions   The intracapsular scratching method has less trauma, and full intracapsular scratching can destroy the inwall, decrease the effusion, and ensure adhesions between the inner walls.

Key words: Pseudocyst of auricle; Intracapsular scratching; Treatment

中图分类号: 

  • R764.91
[1] 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-.
[2] 张开昌. 完整骨性外耳道鼓室成形术治疗胆脂瘤型中耳炎疗效观察[J]. 山东大学耳鼻喉眼学报, 2011, 25(2): 34-36.
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