小儿外耳再造术并发症的临床观察

Observation and treatment of pediatric external ear reconstruction surgery complications

目的分析研究小儿外耳再造术并发症观察以及处理措施。方法选取2009年9月-2013年9月在我院接收的患有先天性小耳畸形患儿79例,对79例患儿采取扩张法自行软骨再造术,对其临床治疗效果以及并发症给予观察分析。结果临床手术以后出现血肿2例(2.53%);感染4例(5.06%);皮瓣血运障碍1例(1.27%);耳支架外露3例(3.79%);气胸1例(1.27%),以上相关并发症通过采取积极正确的处理方式,全部得到明显改善。结论小儿外耳再造术在手术之前要进行严密设计,在手术当中熟练操作可以使并发症明显减少,可以保证临床手术顺利进行。

Objective Analysis and research of pediatric external ear reconstruction surgery complications observation and deal with measures. Methods Select the September 2009 to September 2013 in our hospital received children with congenital microtia of 79 cases,the 79 cases of children were taken to expand self cartilage reconstruction method,given to observe and analyze for their clinical outcomes and complications. Results a total of 2 cases of hematoma occurred (2.53%) after the clinical operation;infected a total of 4 cases (5.06%);skin flap blood circulation barriers a total of 1 case (1.27%);ear bracket exposed a total of 3 cases (3.79%);pneumothorax in 1 case (1.27%),more related complications by taking an positive method correctly,all has been obviously improved. Conclusion pediatric external ear reconstruction surgery should be closely designed before surgery,poficiency in the operation can significantly reduce complications,in order to ensure the clinical surgery smoothiy .