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儿童难治性耳前瘘管应用耳后皮瓣治疗的效果

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目的 探究耳后皮瓣治疗在儿童难治性耳前瘘管中的应用可行性.方法 选取2021 年 2 月~2023 年 2 月我院收治的 52 例难治性耳前瘘管患儿,以随机数字表法将其分为对照组和观察组,每组各26 例.对照组实施常规术式切除耳前瘘管治疗,观察组实施耳后皮瓣治疗.对两组患儿治疗总时间、Ⅰ期愈合率以及术区美观满意度进行比较.结果 观察组患儿术前、术后及总治疗时间均显著低于对照组(P<0.05);观察组患儿Ⅰ期愈合率显著高于对照组(P<0.05);观察组患儿术区美观满意度显著高于对照组(P<0.05).结论 儿童难治性耳前瘘管应用常规切除术与耳后皮瓣两种治疗方法的对比之下,耳后皮瓣治疗在缩短患儿治疗总时长、提高Ⅰ期愈合率和术区美观度方面效果更佳.
Effect of Retroauricular Flap in the Treatment of Refractory Preauricular Fistula in Children
Objective:To explore the feasibility of retroauricular flap in children with refractory preauricular fistula.Methods:A total of 52 children with refractory preauricular fistula admitted to our hospital from February 2021 to February 2023 were selected,and were randomly divided into a control group and an observation group,with 52 cases in each group.The control group was treated with preauricular fistula resection by conventional operation,while the observation group was treated with retroauricular flap.The total treatment time,stage I healing rate and aesthetic satisfaction of the surgical area were compared between the two groups.Results:The preoperative,postoperative and total treatment time of the children in the observation group were significantly lower than those in the control group(P<0.05);the stage I healing rate in the observation group was significantly higher than that in the control group(P<0.05);the aesthetic satisfaction of the surgical area in the observation group was significantly higher than that in the control group(P<0.05).Conclusion:Compared with conventional resection and retroauricular flap,the retroauricular flap is more effective in shortening the total treatment time and improving stage I healing rate and aesthetics.

refractory preauricular fistula in childrenretroauricular flapstage I healing rateaesthetics of the surgical area

胡永生

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343900 江西吉安,吉安市遂川县妇幼保健院

儿童难治性耳前瘘管 耳后皮瓣术 Ⅰ期愈合率 术区美观度

2024

透析与人工器官
天津市泌尿外科研究所 中国生物医学工程学会人工器官分会

透析与人工器官

影响因子:0.809
ISSN:1005-0809
年,卷(期):2024.35(2)