耳前瘘管合并真菌感染的临床分析

Clinical analysis of preauricular fistula combined with fungal infections

目的探讨手术时机对耳前瘘管合并真菌感染临床治疗效果的影响。方法选取2009年10月-2011年10月于医院接受耳前瘘管合并真菌感染手术治疗的64例患者,随机分为感染期手术组和感染控制期手术组,每组32例。结果感染控制期手术组患者4～6d拆线的有12例,占37.50%,明显高于感染期手术组的12.50%(P<0.05),而感染控制期手术组患者8～10d拆线的有11例,占34.37%,明显低于感染期手术组的56.25%(P<0.05);感染控制期手术组患者治愈率为96.88%,复发率为3.12%,感染期手术组患者治愈率为93.75%,复发率为6.25%,两组患者比较,治愈率及复发率差异无统计学意义。结论耳前瘘管合并真菌感染的手术时机应该选择在患者的炎症得到基本控制的情况下尽早展开手术治疗,这样既能增加手术的治疗效果,缩短拆线时间,又不影响手术的治愈率和复发率,还可以缩短疗程,减轻患者的负担。

OBJECTIVE To investigate the effect of the operation time on the clinical treatment of preauricular fistula combined with fungal infections.METHODS A total of 64 patients who received treatment of preauricular fistula combined with fungal infections from Oct 2009 to Oct 201l were selected as research objects and randomly divided into the operation infection group and the operation infection control group,with 32 cases in each.RESULTS There were 12 patients in the operation infection control group with removal of stitches within 4-6 days,accounting for 37.50%,significantly higher than 12.50% of the operation infection group,(P<0.05),however,there were 11 patients with the removal of stitches within 8-10 days,accounting for 34.37%,significantly lower than 56.25% of the operation infection group(P<0.05);the cure rate of the operation infection control group was 96.88%,the recurrence rate 3.12%,the cure rate of the operation infection group was 93.75%,the recurrence rate 6.25%,as compared with the two groups,the differences in the cure rate and the recurrence rate were not statistically significant.CONCLUSION The patients of preauricular fistula combined with fungal infections should undergo the surgery under the basic control of the inflammation as soon as possible,and it can not only increase the therapeutic effect of surgery and shorten the time of stitches removal,without affecting the cure rate and the recurrence rate,but also can shorten the course of treatment and reduce the burden for the patients.