软骨部分切除术与穿刺抽液局部加压包扎治疗耳廓假性囊肿的临床效果分析

摘要

目的 分析比较软骨部分切除术与穿刺抽液局部加压包扎治疗耳廓假性囊肿的临床效果.方法 收集89例耳廓假性囊肿患者,均单耳发病,其中男70例,女19例;年龄17 ～ 69岁,平均年龄(41.8±11.8)岁;病程1.3 ～18周,平均(12.8±3.9)周.随机将89例患者分为A组和B组,A组45例采用穿刺抽液局部加压包扎,B组44例采用软骨部分切除术,比较两组一次性治愈率及总治愈率的差异.结果 所有患者均随访3个月至1年,89例患者全部治愈,均无复发及并发症,但软骨部分切除组一次性治愈率与穿刺抽液局部加压包扎组比较,差异具有统计学意义(P＜0.05).结论 软骨部分切除术治疗耳廓假性囊肿一次性治愈率高,创伤小,病程短,简单易行.%Objective To compare the clinical effect of partial excision of cartilage and local pressure after puncture and drainage for the treatment of auricular pseudocyst.Methods 89 patients suffering from pseudocyst of unilateral auricle were included.Of them,70 were male and 19 were female.Their age ranged from 17 to 69 years old with an average of (41.8 ± 11.8),and the course of disease ranged from 1.3 to 18 weeks with a mean duration of (12.8 ± 3.9).They were randomly divided into group A (n =45) and group B (n =44).Local pressure after puncture and drainage was applied to those of group A,and partial excision of auricular cartilage was adopted in group B.The differences of primary and total cure rates between the two groups were compared.Results All the 89 cases had been followed up for 3 months to one year postoperatively.They were all cured without recurrence and complications,but the primary healing rate of group B was higher than that of group A,and the difference was statistically significant (P ＜ 0.05).Conclusion For the treatment of auricular pseudocyst,partial excision of auricular cartilage has advantages of high primary healing rate,little trauma,short duration,simplicity and practicableness.