改良前囊壁切除联合对穿缝合法治疗耳郭假性囊肿32例

Treatment of 32 cases pseudocyst of auricle with modified anterior capsulectomy and suture

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。

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.