前壁软骨切除联合分区引流治疗耳廓假性囊肿的临床疗效
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摘要
目的研究前壁软骨切除联合分区引流治疗耳廓假性囊肿的临床疗效。方法 100例耳廓假性囊肿患者,采用前瞻性随机分组法分为对照组和观察组,每组50例。对照组患者采用囊内搔刮联合石膏外固定治疗,观察组患者采用前壁软骨切除联合分区引流治疗。比较两组患者的围术期相关指标、临床耳廓不良症状发生情况、临床治疗效果、预后情况。结果观察组患者的治疗时间(7.15±2.00)d及疼痛持续时间(1.34±0.32)d均短于对照组的(10.38±2.73)、(3.61±1.39)d,差异均具有统计学意义(P<0.05)。观察组患者术后局部肿胀、局部灼烧感、局部瘙痒、局限性隆起等耳廓不良症状发生率均明显低于对照组,差异均具有统计学意义(P<0.05)。观察组患者的临床总有效率96.00%(48/50)显著高于对照组的80.00(40/50),差异具有统计学意义(P<0.05)。观察组患者的并发症发生率及复发率均低于对照组,差异均具有统计学意义(P<0.05)。结论耳廓假性囊肿患者采用前壁软骨切除联合分区引流治疗的有效性和安全性均较高,耳廓症状改善明显。
Objective To study the clinical efficacy of anterior wall cartilage excision combined with regional drainage in the treatment of auricular pseudocyst. Methods A total of 100 patients with auricular pseudocyst were divided by prospective random grouping method into control group and observation group, with 50 cases in each group. The control group was treated with intracapsular scraping combined with plaster external fixation, and the observation group was treated with anterior wall cartilage excision combined with regional drainage. Comparison were made on perioperative related indicators, occurrence of clinical auricle adverse symptoms, clinical treatment efficacy and prognosis between the two groups. Results The observation group had shorter treatment time as(7.15±2.00) d and pain duration as(1.34±0.32) d than(10.38±2.73) and(3.61±1.39) d in the control group. Their difference was statistically significant(P<0.05). The observation group had obviously less cases of postoperative local swelling, local burning, local itching and local eminence than the control group, and their difference was statistically significant(P<0.05). The observation group had significantly higher total clinical effective rate as 96.00%(48/50) than 80.00(40/50) in the control group, and the difference was statistically significant(P<0.05). The observation group had lower incidence of complications and recurrence rate than the control group, and the difference was statistically significant(P<0.05). Conclusion Anterior wall cartilage excision combined with regional drainage shows high effectiveness and safety in the treatment of auricular pseudocyst, and can obviously improve auricular symptoms.
Objective To study the clinical efficacy of anterior wall cartilage excision combined with regional drainage in the treatment of auricular pseudocyst. Methods A total of 100 patients with auricular pseudocyst were divided by prospective random grouping method into control group and observation group, with 50 cases in each group. The control group was treated with intracapsular scraping combined with plaster external fixation, and the observation group was treated with anterior wall cartilage excision combined with regional drainage. Comparison were made on perioperative related indicators, occurrence of clinical auricle adverse symptoms, clinical treatment efficacy and prognosis between the two groups. Results The observation group had shorter treatment time as(7.15±2.00) d and pain duration as(1.34±0.32) d than(10.38±2.73) and(3.61±1.39) d in the control group. Their difference was statistically significant(P<0.05). The observation group had obviously less cases of postoperative local swelling, local burning, local itching and local eminence than the control group, and their difference was statistically significant(P<0.05). The observation group had significantly higher total clinical effective rate as 96.00%(48/50) than 80.00(40/50) in the control group, and the difference was statistically significant(P<0.05). The observation group had lower incidence of complications and recurrence rate than the control group, and the difference was statistically significant(P<0.05). Conclusion Anterior wall cartilage excision combined with regional drainage shows high effectiveness and safety in the treatment of auricular pseudocyst, and can obviously improve auricular symptoms.
引文
[1]何利兴,卢华,陈志芳.前壁软骨切除联合分区引流治疗耳廓假性囊肿的临床疗效.中国医药科学, 2017, 7(13):192-194.
[2]祝宝莲,曹卫东.改良耳廓假性囊肿切除术31例疗效观察.临床耳鼻咽喉头颈外科杂志, 2016, 30(24):1966-1967.
[3]陈金辉,陈婉仪,邓爱玲,等.复发性耳廓假性囊肿的手术疗效分析.临床耳鼻咽喉头颈外科杂志, 2015, 29(14):1306-1307.
[4]何苗,蒋劲松,黄辉,等.对穿缝合加压包扎治疗耳廓假性囊肿的疗效观察.临床耳鼻咽喉头颈外科杂志, 2016,30(14):1150-1152.
[5]王超.耳廓假性囊肿前壁软骨切除术的临床疗效观察.中国现代药物应用, 2016, 10(4):34-35.
[6]杨莉,王荣坤,赵敏.前壁软骨切除加对穿“V”型缝合治疗耳廓假性囊肿.中国耳鼻咽喉头颈外科, 2016, 23(3):153-154.
[7]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廓假性囊肿.中国耳鼻咽喉头颈外科, 2016, 23(4):235-236.
[8]王海波,许珉,王晓佳.耳廓假性囊肿前壁软骨切除术的疗效分析.临床医学研究与实践, 2016, 1(14):26-27.
[2]祝宝莲,曹卫东.改良耳廓假性囊肿切除术31例疗效观察.临床耳鼻咽喉头颈外科杂志, 2016, 30(24):1966-1967.
[3]陈金辉,陈婉仪,邓爱玲,等.复发性耳廓假性囊肿的手术疗效分析.临床耳鼻咽喉头颈外科杂志, 2015, 29(14):1306-1307.
[4]何苗,蒋劲松,黄辉,等.对穿缝合加压包扎治疗耳廓假性囊肿的疗效观察.临床耳鼻咽喉头颈外科杂志, 2016,30(14):1150-1152.
[5]王超.耳廓假性囊肿前壁软骨切除术的临床疗效观察.中国现代药物应用, 2016, 10(4):34-35.
[6]杨莉,王荣坤,赵敏.前壁软骨切除加对穿“V”型缝合治疗耳廓假性囊肿.中国耳鼻咽喉头颈外科, 2016, 23(3):153-154.
[7]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廓假性囊肿.中国耳鼻咽喉头颈外科, 2016, 23(4):235-236.
[8]王海波,许珉,王晓佳.耳廓假性囊肿前壁软骨切除术的疗效分析.临床医学研究与实践, 2016, 1(14):26-27.