烧伤并发耳软骨炎13例治疗体会

Experience in the treatment of 13 cases with burn accompanied with auricular chondritis

目的：探讨烧伤并发耳软骨炎的治疗体会。方法：回顾性分析本院2002至2008年收治的13例烧伤并发耳软骨炎的临床资料。结果：耳软骨炎多发生在伤后2~4周,8例行手术治疗,2例脓肿形成后先行切开引流、换药无效,后行扩创术。其中再次手术者3例。愈后均有不同程度的瘢痕及畸形。结论：感染是发生耳软骨炎的直接原因;烧伤并发耳软骨炎的治疗应及时彻底清创,清除坏死组织及软骨,行植皮封闭创面。积极的防范措施可降低烧伤并发耳软骨炎的发生。

Objective：To investigate experience in the treatment of 13 cases with burn accompanied with auricular chondritis. Methods： 13 cases with burn accompanied with auricular chondritis that were treated in our hospital during years from 2002 -2008 were analyzed retrospectivly. Results： Auricular chondritis always followed by burn after 2 -4weeks ,8 cases treated by operation ,For 2 cases , who has abscess- formation, firstly underwent incision and drainage , but is ineffective after changing dressing, then treated with epluchage . Among the total, 3 cases underwent reoperation . After cured , scar and deformity was observed in all cases at different degree. Conclusions： Infection is the immediate cause of auricular chondritis , the treatment principle of auricular chondritis is ： the timely and complete debridement ; removal necrotic tissue and cartilage ; graft skin to close the wound. Positive preventive measures can decrease the incidence of auricular chondritis that followed by burn.