新生儿耳廓畸形筛查及耳模无创矫正疗效评估
Newborn Ear Deformity and Non-Invasive Ear Molding Correction
邹起瑞 1任艳丽 1郭浩 1李惠芹 2彭檀 1周尚清 1张媛艳 2刘永刚1
作者信息
- 1. 淮北市人民医院耳鼻喉科(淮北 235099)
- 2. 淮北市人民医院产科
- 折叠
摘要
目的 通过新生儿查体时行外耳廓检查,统计分析新生儿耳廓畸形的发生率、矫正率、并发症发生率,评估耳模无创矫正治疗效果.方法 选取2020年1月1日—2021年7月1日淮北市人民医院出生的新生儿3797例(7594耳),其中耳廓畸形患儿616例(851耳),将进行治疗的119例(173耳)患儿根据出生时间分为1组(≤7 d)125耳、2组(8～42 d)31耳,3组(>42 d)17耳.对于轻微不需治疗及拒绝治疗的患儿监护人,分别于出生后7、14 d进行电话随访,收集相关数据进行汇总分析.比较3组治疗总有效率、并发症发生率、治疗时间.结果 新生儿耳廓畸形发生率为11.21%(851/7594),19.32%(119/616)的新生儿耳廓畸形接受了无创矫正治疗,矫正率为20.33%(173/851),12例(10.08%)患儿在矫正过程中出现湿疹,3耳中途放弃治疗,2耳效果不佳,治疗总有效率为97.11%(168/173).1组治疗有效率显著高于2组和3组,差异有统计学意义(P<0.01);2组与3组治疗有效率比较,差异无统计学意义(P=0.225).1组治疗时间短于2组和3组,差异有统计学意义(P<0.01);2组治疗时间短于3组,差异有统计学意义(P<0.01).1组并发症发生率低于2组和3组,差异有统计学意义(P<0.01);2组并发症发生率低于3组,但差异无统计学意义(P=0.530).结论 新生儿耳廓畸形发生率较高,耳模型无创矫正效果好,在新生儿查体时即可对耳廓畸形做出筛查,在最早期发现患耳、避免漏诊,越早治疗效果越好.
Abstract
Objective To report incidence of auricular malformation in newborns and correction outcomes and complication,Method Newborns(n=3797,7594 ears)born in Huaibei people's Hospital from January 1,2020 to July 1,2021 were examined,there were 616 newborns(851 auricular)and treatment offered.if auricular malformation was di-agnosed with appropriate treatment indications.The treated newborns(n=119,173 ears)were divided into three groups based on age,i.e.≤7 d(Group 1,125 ears),8-42 d(Group 2,31)and>42 d(Group 3,17 ears),for comparison of treat-ment outcomes and complications.Newborns with mild malformation and those with indications but no treatment due to rejection by guardians were followed up on the phone at 7 d and 14 d.Result Auricular malformation was diagnosed in 616(16.22%)of the 3797 newborns or 851(11.21%)of the 7594 ears examined.Of the newborns with auricular malfor-mation,119(19.32%,851 ears)received non-invasive correction with a rate of success at 20.33%(173/851).Treatment was aborted in 3 ears,of which 2 due to lack of effects,yielding a total rate of effectiveness of 97.11%(168/173).The rate was significantly higher in Group 1 than in Groups 2 and 3(P<0.01).The rate of complications was highest in Group 3,followed by Group 2 and Group 1(P<0.01).The treatment duration required was also the longest for Group 3,and shortest for Group 1(P<0.01).Conclusion The incidence of auricular malformation in neonates appears to be high and non-invasive ear molding correction can be an effective treatment,which should be performed at the earliest time possible after auricular malformation is detected during newborn ear examination.
关键词
新生儿/耳廓畸形/耳模型/无创矫正Key words
newborn/auricular malformation/ear molding/non-invasive correction引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据