山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (1): 42-45.doi: 10.6040/j.issn.1673-3770.0.2019.560

• 论著 • 上一篇    

改良前囊壁切除联合对穿缝合法治疗耳郭假性囊肿32例

张生军1,尹承江1,宋丽1,王仁彩1,王启荣2   

  1. 山东省千佛山医院)耳鼻咽喉科, 山东 济南 250014
  • 发布日期:2020-03-06
  • 通讯作者: 张生军. E-mail:82296983@qq.com

Treatment of 32 cases pseudocyst of auricle with modified anterior capsulectomy and suture

ZHANG Shengjun1, YIN Chengjiang1, SONG Li1, WANG Rencai1, WANG Qirong2   

  1. 1. Department of Otorhinolaryngology, Xintai people's Hospital, Xintai 271200, Shangdong, China;
    2. Department of Otorhinolaryngology, Shandong Provincial Qianfoshan Hospital, the First Hospital Affiliated with Shandong First Medical University, Jinan 250014, Shandong, China
  • Published:2020-03-06

PDF (PC)

253

摘要： 目的 探讨前囊壁软骨切除术联合对穿缝合治疗耳郭假性囊肿的疗效及体会。 方法 回顾性分析62例耳郭假性囊肿患者,随机分为治疗组(32例)和对照组(30例),治疗组接受耳郭假性囊肿前囊壁切除联合对穿缝合法,对照组接受耳郭假性囊肿穿刺抽液并加压包扎法,比较两组患者的临床疗效。 结果 治疗组患者总有效率为93.8%,对照组总有效率为76.7%,治疗组疗效优于对照组,组间差异有统计学意义(P<0.05)。治疗组患者治疗后总并发症发生率为15.6%,对照组治疗后总并发症发生率为50.0%,组间差异有统计学意义(P<0.05)。治疗组患者术后整体满意率为87.5%,对照组患者术后整体满意率为66.6%,组间差异有统计学意义(P<0.05)。 结论 改良前囊壁软骨切除联合对穿缝合法治疗耳郭假性囊肿效果确切,疗效优于传统切开引流、穿刺抽液、 加压包扎、冷冻、 注射硬化剂等,临床值得推广。

关键词: 前壁软骨切除, 耳郭假性囊肿, 对穿缝合加压包扎

Abstract: Objective To explore the effect and experience of anterior capsulotomy combined with suturing on pseudocyst of auricle. Methods 62 patients with pseudocyst of auricle were analyzed retrospectively. They were randomly divided into two groups: the treatment group(32 cases)and the control group(30 cases). The treatment group received the anterior capsule wall resection of pseudocyst of auricle plus the method of puncture and drainage of pseudocyst of auricle and the method of pressure bandaging. The clinical effects of the two groups were compared. Results The total effective rate of the treatment group was 93.8%, and that of the control group was 76.7%. The effect of the treatment group was significantly better than that of the control group, and the difference between the groups was statistically significant(P<0.05). The incidence of total complications was 15.6% in the treatment group and 50.0% in the control group(P<0.05). The overall satisfaction rate was 87.5% in the treatment group and 66.6% in the control group(P < 0.05). Conclusion The effect of modified anterior capsulotomy combined with suture is better than that of traditional incision and drainage, puncture and drainage, pressure bandaging, freezing, injection of sclerosing agent, etc. it is worth popularizing.

Key words: Anterior wall cartilage resection, Pseudocyst of auricle, Suture following by pressure dressing

中图分类号: 

  • R764.1
[1] 田勇泉, 韩东一,迟放鲁, 等. 耳鼻咽喉头颈外科学[M]. 8版, 北京:人民卫生出版社, 2016:314.
[2] 杨莉, 王荣坤, 赵敏. 前壁软骨切除加对穿“V”型缝合治疗耳郭假性囊肿[J]. 中国耳鼻咽喉头颈外科, 2016, 23(3):153-154. doi:10.16066/j.1672-7002. 2016.03.010. YANG Li, WANG Rongkun, ZHAO Min. Effect analysis of anterior wall cartilage resection plus V suture for large pseudocyst of auricle[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery,2016,23(3):153-154. doi:10.16066/j.1672-7002. 2016.03.010.
[3] Beutler BD, Cohen PR. Pseudocyst of the auricle in patients with movement disorders: report of two patients with ataxia-associated auricular pseudocysts[J]. Dermatol Pract Concept, 2015, 5(4):59-64. doi: 10.5826/dpc. 0504a15.
[4] 程鈺, 刘海. 软骨部分切除术与穿刺抽液局部加压包扎治疗耳郭假性囊肿的临床效果分析[J]. 中国耳鼻咽喉颅底外科杂志, 2017, 23(5):476-478. doi:10.11798/j.issn.1007-1520. 2017.05.019 CHENG Yu, LIU Hai. Clinical effect analysis on the treatment of auricular pseudocyst with partial excision of cartilage and local pressure after puncture and drainage[J].Chinese Journal of Otorhinolaryngology-skull Base Surgery,2017,23(5):476-478. doi:10.11798/j.issn.1007-1520. 2017.05.019.
[5] 尹称意, 马兵良, 徐珏, 等. 前壁切除联合改良荷包缝合加压固定治疗复发及复杂性耳郭假性囊肿[J]. 中国耳鼻咽喉头颈外科, 2016, 23(4):235-236. doi:10.16066/j.1672-7002. 2016.04.013.
[6] 宋昶群. 耳郭前囊壁软骨部分切除术治疗耳郭假性囊肿[J]. 中国现代药物应用, 2015,9(11):61-62. doi:10.14164/j.cnki.cn11-5581/r. 2015.11.032 SONG Changqun. Auricular cartilage capsule wall partial resection in the treatment of auricular pseudocyst[J]. Chinese Journal of Modern Drug Application, 2015, 9(11):61-62. doi:10.14164/j.cnki.cn11-5581/r. 2015.11.032.
[7] 包小敏, 邓安春. 甲泼尼龙结合持续负压引流治疗耳郭假性囊肿的疗效观察[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(8):621-623. doi:10.13201/j.issn.1001-1781. 2018.08.016. BAO Xiaomin, DENG Anchun. Curative effect observation of methylprednisolone combined with continuous negative pressure drainage in the treatment of pseudocyst of auricle[J]. 2018,32(8):621-623. doi:10.13201/j.issn.1001-1781. 2018.08.016.
[8] Grigoryan KV, Ingraffea A. Surgical Deroofing Procedure for the Treatment of an Auricular Pseudocyst[J]. 2015, 41(10):1198-1200. doi: 10.1097/DSS.0000000000000438.
[9] 黄佩仪. 低温射频消融术联合加压包扎术治疗耳郭假性囊肿的临床治愈率及不良反应发生情况观察[J].中国现代药物应用,2017,11(3):49-51. doi:10.14164/j.cnki.cn11-5581/r. 2017.03.020. HUANG Peiyi. Observation on clinical cure rate and adverse reactions occurrence of temperature-controlled radiofrequency ablation combined with compression bandage in the treatment of auricle pseudocyst[J]. Chinese Journal of Modern Drug Application, 2017, 11(3):49-51. doi:10.14164/j.cnki.cn11-5581/r. 2017.03.020.
[10] Gu Y, Zhu L, Xiao L, et al. A safe and reliable technique in the management of pseudocyst pinna[J]. Clinical Otolaryngology, 2014, 39(5):325-326. doi:10.1111/coa. 12271.
[11] 刘及江, 苟华, 郑水洁. 复发性耳郭假囊肿前壁切除加耳郭全层间断褥式缝合术24例[J]. 中国眼耳鼻喉科杂志, 2015, 15(1):51. doi:10.14166/j.issn.1671-2420. 2015.01.018.
[12] 王丹凤, 吕建刚. 耳郭假性囊肿两种治疗方式的比较[J]. 中国中西医结合耳鼻咽喉科杂志, 2017, 25(06):465-466+439. doi:10.16542/j.cnki.issn.1007-4856. 2017.06.019.
[13] 李英, 董维刚, 欧宁江, 等. 耳郭穿通性缝合加压治疗耳郭假囊肿的临床疗效[J]. 宁夏医科大学学报, 2018, 40(10):1190-1192. doi:10.16050/j.cnki.issn1674-6309. 2018.10.018.
[14] 郑立岗, 林枫, 虞幼军, 等. 囊肿前壁切除治疗难治性耳郭假性囊肿[J]. 中国中西医结合耳鼻咽喉科杂志, 2018, 26(1):61-62. doi:10.16542/j.cnki.issn.1007-4856. 2018.01.018.
[15] 何利兴, 卢华, 陈志芳, 等. 前壁软骨切除联合分区引流治疗耳郭假性囊肿的临床疗效[J]. 中国现代药物应用, 2019, 13(12):14-16. doi:10.14164/j.cnki.cn11-5581/r. 2019.12.006. HE Lixing, LU Hua, CHEN Zhifang, et al. Clinical efficacy of anterior wall cartilage excision combined with regional drainage in the treatment of auricular pseudocyst[J]. Chinese Journal of Modern Drug Application, 2019,13(12):14-16. doi:10.14164/j.cnki.cn11-5581/r. 2019.12.006.
[16] 祝宝莲, 曹卫东, 徐冰, 等. 改良耳郭假性囊肿切除术31例疗效观察[J]. 临床耳鼻咽喉头颈外科杂志, 2016, 30(24):1966-1967. doi:10.13201/j.issn.1001-1781. 2016.24.017. ZHU Baolian, CAO Weidong, XU Bing, et al. Clinical observation on the modified surgical treatment of auricular pseudocyst on 31 cases[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2016,30(24):1966-1967. doi:10.13201/j.issn.1001-1781. 2016.24.017
[1] 王春雨. 得宝松局部注射治疗耳郭假性囊肿20例[J]. 山东大学耳鼻喉眼学报, 2011, 25(3): 46-47.
[2] 陈丽艳1，包景传2，王强3，孙岩3，宋西成3. 囊内划痕综合治疗耳郭假性囊肿96例临床分析[J]. 山东大学耳鼻喉眼学报, 2011, 25(2): 32-.
[3] 李全行，包景川，姜洪波. 对孔穿刺引流冲洗加压包扎术治疗耳郭假性囊肿60例[J]. 山东大学耳鼻喉眼学报, 2010, 24(4): 29-.
[4] 蔡昌枰,Siow Jinkeat,Samuel Yeak . 耳郭假性囊肿的手术治疗[J]. 山东大学耳鼻喉眼学报, 2007, 21(5): 420-422 .
[5] 马文新,黄晓阳,卢新丰,杨雪华 . 全耳郭石膏灌注固定治疗耳郭假性囊肿[J]. 山东大学耳鼻喉眼学报, 2006, 20(5): 468-468 .
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发