耳前瘘管切除术后切口愈合的影响因素

The Influence Factors of the Incision Healing after Surgery in Treatment of Congenital Preauricular Fistula

目的分析耳前瘘管手术后切口愈合的影响因素,为提高耳前瘘管切除术后切口甲级愈合率提供依据。方法统计我院67例(73耳)耳前瘘管患者的年龄、术前是否有切开排脓病史、手术时间、是否分层缝合、切口是否加压包扎以及是否感染期手术,分析切口甲级愈合率与切口愈合不良率是否有统计学差异。结果耳前瘘管切除术手术时间超过30 min、术后未加压包扎、感染期手术易致切口愈合不良。结论提高手术技能,缩短手术时间,术后适度加压包扎,避免感染期手术可提高耳前瘘管切除术后切口甲级愈合率。

Objective To analysis the influence factors of the incision healing after surgery in treatment of congenital preauricular fistula,in order to improve the incision class-a healing rateafter surgery in treatment of congenital preauricular fistula.Methods Statistics from 67 patients（73 ears） of congenital preauricular fistula for age,preoperative fistula patients if there is a history of abscess incision,operation time,whether the layered suture,Whether to pressurize the dressing and whether to operation in infection,analysis the statisticl difference between the class-a healing rate and poor healing rate.Results The time over 30 min of the operation、postoperative unpressurized dressing and operation in infection what was assosiated with the poor healing.Conclusion Improve the operation skills,reduce operation time,postoperative moderate compression bandage,avoid infection period operation which will improve the incision class-a healing rate after surgery in treatment of congenital preauricular fistula.