难治性耳前瘘管感染灶的手术治疗

The Surgical Treatment for the Intractable Congenital Preauricular Fislula

目的探讨难治性耳前瘘管感染灶的手术治疗方法。方法整理45例保守方法治疗先天性耳前瘘管感染灶经久不愈的手术治疗资料,男14例,女31例,年龄7～15岁,平均11.2岁,单耳32例,双耳13例(双耳者均为一侧耳接受手术,对侧未予处置)。结果手术切口一期愈合20例,切口呲开1例,手术切口二期处置24例,其中二期缝合愈合10例,切口无菌纱布填压换药,自然愈合14例。结论对于保守方法治疗先天性耳前瘘管感染灶经久不愈的病人,择期手术是摘除耳前瘘管及感染灶,促进切口愈和的有效方法。

Objective To investigate the surgical treatment for the intractable congenital preauricular fislula.Methods 45 patients with repeated ear infections of congenital preauricular fislula after conservative methods were collected（31 women and 14 men）.Ages were ranged from 7 to 15 years,with an average age of 11.2 years.32 cases were ill in one ear and 13 cases were ill in both ears,all of which were operated on one ear.Results 20 cases healed by first intention and one case splited the incision;24 cases needed secondary sutures,among which 10 cases were cured with two surgeries.14 examples were cured with spontaneously wound healing after local change of dressing.Conclusions Those people with repeated ear infections of congenital preauricular fislula should choose surgical treatments.That′s the best way to improve primary wound healing.