耳廓假性囊肿治疗方式及时机探讨

THE CHOICES AND TIMINGS OF THE THERAPIES FOR THE AURICLAR PSEUDOCYST

目的通过对于耳廓假性囊肿的跟踪治疗，探讨该病发展过程建议选用的治疗方法及时机。方法对我院在2008—2013年间诊断为耳廓假性囊肿的患者，先行给予穿刺抽液＋平阳霉素囊腔冲洗。加压包扎，经二次治疗复发后给予手术治疗，手术切除囊肿部分前壁，观察患者在采取手术治疗所需病程时间及患者耳廓体征，行统计学分析。结果经单纯穿刺抽液＋平阳霉素囊腔冲洗治疗，病程2周内患者治疗率达到98％；病程2周以上患者治疗率为30％。结论病程在2周内的患者，建议行穿刺抽液及平阳霉素囊腔冲洗等保守治疗，病程在2周以上，建议行手术治疗，彻底切除囊肿前壁增厚的软骨膜及新生的软骨，可以保持耳廓解剖形态，减少囊肿复发，并可缩短患者治疗时间。

Objective To explore the choices and timings of the therapies for the auriclar pseudocyst accord- ing to the follow - up treatments. Methods Patients of auriclar pseudocyst during 2008 and 2013 were treated with aspiration of the cyst followed by injection of pingyangmycin and compression dressing. Patients of recurrence were treated by the front wall of the cartilage resection. Clinical evaluations on the time of therapies and the healing of auri- cles were performed. Results By simple puncture fluid and Bleomycin wash treatment, patients with 2 weeks of dis- ease course achieved cure rates of 98% ; The cure rate was 30% in patients with more than two weeks disease course. Conclusion Patients within two week courses were advised with the treatment of the aspiration of the cyst followed by injection of pingyangmycin and compression dressing. Patients over two weeks courses were advised with the treatment of the front wall of the cartilage resection. The sugery could provide better auricle shape, lower recurrence rate and less time cost of the therapies.