扩张皮瓣法全耳再造术和改良Brent法全耳再造术的比较研究

Comparison of therapeutic effect between skin flap-extension auricular reconstruction and improved Brent auricular reconstruction

目的比较扩张皮瓣法全耳再造术(简称扩张皮瓣法)和改良Brent法全耳再造术(简称改良Brent法)术后并发症的发生率及患者的满意度。方法 2009年10月至2014年10月我院收治199例确诊为先天性小耳畸形并行全耳再造术的患者,按手术方法的不同分为2组,A组(159例)为扩张皮瓣法组,B组(40例)为改良Brent法组。查阅所有入组患者的病历资料、术前术后照片并电话随访其满意度。结果 2组患者的总体满意度均较高。A组出现并发症47例(29.6%,47/159),B组出现并发症5例(12.5%,5/40),2组并发症比较,差异有统计学意义(P<0.05)。结论扩张皮瓣法和改良Bren法术后患者满意度无明显差异,但改良Brent法的术后并发生症较少。

Objective To compare the rate of postoperative complications and satisfaction between skin flap-extension auricular reconstruction（ hereinafter flap-extension） and improved Brent auricular reconstruction（ hereinafter improved Brent）. Methods From October2009 to October 2014,totally 199 patients who have been diagnosed as congenital microtia and received auricular reconstruction were divided into two groups. Group A（ 159 patients） received flap-extension and Group B（ 40 patients） received improved Brent. The medical records,pre- and post-surgery photos of all patients were analyzed and satisfaction of patients was collected by the telephone follow-up. Results Patients in both of the two groups were satisfied with their therapies. There were 47 cases of complications in Group A（ 29. 6%,47 /159） and5 cases of complications in Group B（ 12. 5%,5 /40）. The postoperative complications were significantly different between the two groups（ P〈0. 05）. Conclusion There was no difference in patients＇ satisfaction between the two methods,but the postoperative complications of improved Brent were much lower.