Medpor支架行耳廓再造术后效果及患者满意度观察

Effect of Medpor Stent on Auricular Reconstruction and Patient Satisfaction

目的:探讨肋软骨已经发生钙化的耳缺损或先天性小耳患者应用Medpor支架行耳廓再造术的方法及效果。方法:选取2009年3月-2015年5月于本院行耳廓再造术治疗的102例(102耳)患者为研究对象,其中53例(53耳)采用MEDPOR支架实施耳廓再造术为研究组,49例(49耳)采用自身肋软骨实施耳廓再造术为对照组,对比两种手术方法的效果及术后外观满意度。结果:研究组患者有1例出现皮瓣坏死,皮瓣存活率为98.11%,对照组未出现皮瓣坏死及支架外露,皮瓣存活率100.00%,组间比较差异无统计学意义(P>0.05);两组患者耳廓外形术后效果评价结果比较,差异亦无统计学意义(P>0.05);研究组患者术后满意率为86.79%低于对照组的93.88%,但组间比较差异无统计学意义(P>0.05)。结论:肋软骨已经发生钙化的耳缺损或先天性小耳患者采用Medpor支架行耳廓再造术,疗效确切,可应用于临床。

Objective To investigate the method and effect of MEDPOR scaffold for auricle reconstruction in calcified auricular defect or congenital small ear in costal cartilage.Methods 102 cases(102 ears)who were treated with auricular reconstruction in our hospital from March 2009 to May 2015 were selected as the research subjects.53 cases(53 ears)in the study group were treated with Medpor stent for auricle reconstruction,49 cases(49 ears)in the control group used self costal cartilage.The effect of the two methods of operation and the satisfaction of the exterior were compared.Results There was one case of skin flap necrosis in the study group,the survival rate of the flap was 98.11%,and no skin flap necrosis and stent exposure in the control group,there was no statistical difference between groups(P>0.05).The results of the effect evaluation of the two groups were not statistically significant(P>0.05).The postoperative satisfaction rate of the patients in the study group was 86.79%lower than that of the control group(93.88%),but there was no significant difference between the groups(P>0.05).Conclusion Medpor stent for auricular reconstruction can be applied to the ear defects or congenital microtia patients with calcification of costal cartilage,which is effective and can be used in clinical practice.