改良手术方法治疗耳廓假性囊肿的疗效分析

Analysis of the Clinical Efficacy of Improved Auricular Pseudocyst Operation on Pseudocyst of Auricle

目的:评价改进耳廓假性囊肿手术方法后治疗耳廓假性囊肿的疗效。方法:选择2011年2月至2012年7月在我科住院治疗耳廓假性囊肿患者56例,并将其随机分为常规手术组和改进手术组,观察和比较两组患者手术治疗后的痊愈率、显效率及总有效率。结果:所有病人经门诊随访半年以上。常规组1例痊愈(4.6%),4例显效(18.2%),16例有效(72.3%),1例无效(4.6%),总有效率95.5%(21/22);改进组24例痊愈(70.6%),9例显效(26.5%),1例有效(2.9%),总有效率100%(34/34),两组的痊愈率比较差异有显著性意义(P<0.05),改进手术组的痊愈率显著高于常规手术组;两组的显效率比较差异有显著性意义(P<0.05),改进手术组的显效率显著高于常规手术组;两组的总有效率比较差异没有有显著性意义(P>0.05)。结论:改进耳廓假性囊肿手术方法后,术后术腔的渗液明显减少,缩短了换药时间,加快了伤口愈合的速度,避免了手术后因反复换药刺激引起耳廓机化、皮肤增厚而导致的耳廓变形。

Objective： To discuss the curative effect of improvement of auricular pseudocyst operation on auricular pseudocyst. Methods： Fifty-six cases with auricular pseudocysts in the department of otolaryngology from Feb 2011 to Jul 2012 were randomly di- vided into routine operation group and improved operation group, then the cure rate, markedly effective rate and total effective rate was calculated. Results： All patients were followed up for more than six months.1 case was recovery （4.6%）, 4 cases were marked effect （18.2%）,lcase was effect（72.3%） and 1 case was no-effect（4.6%）, total efficiency was 95.5% （21/22）; In improved operation group, 24 case was recovery （70.6%）, 9 cases were marked effect （26.5%）, lcase was effect （2.9%）and no case was no-effect, total efficiency was 100% （34/34）. Statistical analysis showed that the cure rates between the two groups were significant difference （P〈0.05）, the cure rate of improved operation group was significantly higher than routine operation group; the markedly effective rates between the two groups were significant differences （P〈0.05）, and improved operation group was significantly higher than routine operation group; the total ef- fective rates between the two groups were no significant difference （P〉 0.05）, the total effective rate of improved surgical group was not superior to routine operation group. Conclusion： The improvement of auricular pseudocyst operation on auricular pseudocyst can signifi- cantly improve the curative effect, reduce postoperative effusion, shortening the dressing time, accelerate the rate of healing, and avoid the adverse reactions caused by repeated dressing.