第一鳃裂瘘管97例分析

Clinical analysis of the first branchial fistula in 97 cases

目的 :总结第一鳃裂瘘管药物保守治疗和手术治疗的经验。方法 :回顾分析 1988至 2 0 0 1年间经治的第一鳃裂瘘管 97例的临床资料。将 97例随机分为药物治疗组 32例 ,手术组 6 5例。结果 :药物治疗组32例、34耳 ,经抗生素治疗和切开排脓引流换药临床治愈 ,随访 1～ 10年 ,8例复发而行手术治疗。手术组6 5例、6 8耳 ,术后Ⅰ期愈合 6 5耳 ,Ⅱ期愈合 3耳 ,随访 1～ 10年除 4例失访外无复发。结论 :使用药物保守治疗第一鳃裂瘘管继发感染复发率高。

Objective:To investigate the effect on the first branchial fistula with surgical treatment and conservative therapy with medicine. Method:97 cases (102 ears) with first branchial fistula were analysed retrospectively.They were randomized into two groups:group with the medical conservative therapy in 32 cases and group with the surgical treatment in 65 cases.Result:32 cases (34 ears) were cured with medicine in the group of the medical conservative therapy,8 cases relapsed in the follow-up of 1～10 years and were treated by surgery.65 cases (68 ears) were treated with surgery,65 ears healed on first stage,3 ears healed on second stage;Followed up from 1 to 10 years,none was recurrent except that 4 cases lost follow-up. Conclusion:The recurrent rate of secondary infection with medicine therapy is high.Surgery resection of the first branchial fistula is good in controlling infection and preventing recurrence.