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

doi:10.6040/j.issn.1673-3770.0.2019.551

摘要/Abstract

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

苏法仁,刘玉红,薄琳,刘新刚. 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[J]. 山东大学耳鼻喉眼学报, 2020, 34(3): 125-128.

SU Faren, LIU Yuhong, BO Lin, LIU Xingang. A negative pressure drainage device for dermal dilatation of microtia in the second phase of auricular reconstruction surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(3): 125-128.

参考文献

[1] Bly RA, Bhrany AD, Murakami CS, et al. Microtia reconstruction[J]. Facial Plast Surg Clin North Am,2016,24(4):577-591. doi: 10.1016/j.fsc.2016.06.011.
[2] Paput L, Czeizel AE, Bánhidy F. Possible multifactorial etiology of isolated Microtia/anotia: a population-based study[J]. Int J Pediatr Otorhinolaryngol, 2012, 76(3): 374-378. doi:10.1016/j.ijporl.2011.12.012.
[3] Luquetti DV, Leoncini E, Mastroiacovo P. Microtia-anotia: a global review of prevalence rates[J]. Birth Defects Res Part A Clin Mol Teratol, 2011, 91(9): 813-822. doi:10.1002/bdra.20836.
[4 ] Han SE, Lim SY, Pyon JK, et al. Aesthetic auricular reconstruction with autologous rib cartilage grafts in adult microtia patients[J]. J Plast Reconstr Aesthet Surg, 2015,68(8): 1085-1094. doi: 10.1016/j.bjps.2015.04.016.
[5] 苏法仁. 一种用于皮肤扩张法耳廓再造的持续负压引流装置: CN106859848A[P]. 2017-06-20.
[6] 苏法仁,丁静华,刘玉红.苏氏定位法在小耳畸形患者耳廓再造中的应用[J]. 中华耳科学杂志,2016,14(4):551-553. doi: 10.3969/j.issn.1672-2922.2016.04.025. SU Faren, DING Jinghua, LIU Yiuhong. Application of Su's localization method for auricular reconstruction in patients with microtia [J]. Chinese Journal of Otology,2016,14(4):551-553. doi: 10.3969/j.issn.1672-2922.2016.04.025.
[7] 苏法仁, 丁静华, 薄琳, 等. 先天性小耳畸形的耳廓再造[J]. 中华耳科学杂志, 2014, 12(1): 90-92. doi: 10.3969/j.issn.1672-2922.2014.01.022. SU Faren, DING Jinghua, BO Lin, et al. Auricle reconstruction of Microtia[J]. Chinese Journal of Otology, 2014, 12(1): 90-92. doi: 10.3969/j.issn.1672-2922.2014.01.022.
[8] 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): 43-45. BO Lin, SU Faren, DING Jinghua. Clinical application of negative pressure drainage in ear reconstruction[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2011, 25(6): 43-45.
[9] 苏法仁. 自体肋软骨耳廓支架: CN201441497U[P]. 2010-04-28.
[10] Bangun K, Chen PK, Goh RC, et al. Negative pressure manoeuvre in microtia reconstruction with autologous rib cartilage[J]. J Plast Reconstr Aesthet Surg, 2010, 63(8): 1279-1282. doi:10.1016/j.bjps.2009.07.007.
[11] 薄琳,苏法仁,刘新刚,等. 手术治疗耳郭假性囊肿45例[J]. 山东大学耳鼻喉眼学报,2014,28(6):16-17. doi: 10.6040/j.issn.1673-3770.0.2014.138. BO Lin, SU Faren, LIU Xingang, et al. Surgical treatment of pseudocyst of auricle in 45 Cases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University,2014,28(6):16-17. doi: 10.6040/j.issn.1673-3770.0.2014.138.
[12] 刘义平, 林远超. 负压引流防治腮腺术后涎瘘112例[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 65-67. doi: 10.6040/j.issn.1673-3770.0.2017.258. LIU Yiping, LIN Yuanchao. Use of negative pressure drainage for prevention of salivary fistula after parotidectomy: an analysis of 112 cases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(4): 65-67. doi: 10.6040/j.issn.1673-3770.0.2017.258.
[13] Swanson EW, Cheng HT, Susarla SM, et al. Does negative pressure wound therapy applied to closed incisions following ventral hernia repair prevent wound complications and hernia recurrence? A systematic review and meta-analysis[J]. Plast Surg(Oakv),2016,24(2): 113-118. doi: 10.1177/229255031602400207.
[14] 刘倩, 胡莎, 饶敏, 等. 封闭负压引流技术对组织氧分压影响的研究[J]. 当代护士(下旬刊), 2016(4): 58-59. doi: CNKI:SUN:DDHZ.0.2016-04-031. LIU Qian,HU Sha,RAO Min,et al. Effect of closed negative pressure drainage on oxygen partial pressure of tissue[J]. Today Nurse, 2016(4): 58-59. doi: CNKI:SUN:DDHZ.0.2016-04-031.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

[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.
[2]	薄琳, 苏法仁, 刘新刚, 丁静华. 手术治疗耳郭假性囊肿45例[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 16-17.
[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-.