耳郭再造术后局部积液的处理策略

Management strategy of local effusion after auricle reconstruction

目的观察耳郭再造术后局部积液出现的部位,并探讨留置针穿刺法处理局部积液的临床疗效。方法自2017年1月至2019年12月于中国医学科学院整形外科医院外耳再造二中心行耳郭再造术患者共1240例(1296侧),统计其术后拔除引流管后5 d内出现局部积液的情况,并采用留置针穿刺引流的方法进行术后处理。结果术后出现局部积液者共55例,Nagata法24例,扩张单瓣法31例。经留置针穿刺引流,其中1例经治疗积液未见明显减少,再次行手术治疗后好转;2例存在支架的轻度吸收;其余均获得了较好的手术效果。结论采用留置穿刺针引流的方法操作简单,能较好地解决耳郭再造术后局部积液问题,获得了良好的再造耳效果。

Objective To describe the location of effusion after auricle reconstruction and to explore the clinical efficacy of indwelling needle puncture in the treatment of local effusion.Methods From January 2017 to December 2019,1240 patients(1296 diseased ears)underwent auricle reconstruction in the Plastic Surgery Hospital of Chinese Academy of Medical Science were selected.The local effusion occurred within 5 days after the drainage tube was removed,and the indwelling needle was used for puncture and drainage in the postoperative treatment.Results There were 55 patients with local effusion after operation,24 patients underwent Nagata’s method and 31 patients underwent expanded single-flap method.One patient had no significant effusion reduction after puncture and drainage by indwelling needle and improved after secondary operation.Two patients had slight absorption of cartilage.The remain patients had good results.Conclusion The method of indwelling needle for puncture and drainage is easy to operate.The problem of local effusion after auricle reconstruction can be solved and good efficacy can be obtained.