解剖安全边界治疗感染型先天性耳前瘘管的疗效观察

摘要

目的：探讨解剖安全边界治疗感染型先天性耳前瘘管的疗效。方法对77例单侧感染型先天性耳前瘘管手术患者进行回顾性分析，其中35例患者采用手术显微镜下直接分离法（A组），42例患者采用解剖安全边界的手术方式（B组）。结果术后随访1~2年，A组术后复发3例，行二次手术后痊愈。B组术后无复发。结论采用解剖安全边界手术方式治疗感染型先天性耳前瘘管，简便易用，安全高效。%Objective To explore efifcacy of dissection of margin of safety in treatment of infectious congenital preauricular ifstula. Methods 77 surgical cases of unilateral infectious congenital preauricular ifstula were retrospectively analyzed, including 35 cases dissected directly under the microscope (group A) and 42 cases dissected the margin of safety (group B). Results After 1-2 years of postoperative follow-up, 3 recurrent cases in group A recovered after the second surgery while no recurrence in group B. Conclusion Dissecting margin of safety in treatment of infectious congenital preauricular ifstula, is easy, safe and efifcient.