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

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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
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