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囊内划痕综合治疗耳郭假性囊肿96例临床分析

Analysis of intracapsular scratch method in treating 96 patients with pseudocyst of the auricle

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【作者】 陈丽艳包景传王强孙岩宋西成

【Author】 CHEN Li-yan1,BAO Jing-chuan2,WANG Qiang3,SUN Yan3,SONG Xi-cheng3(1.Department of Otorhinolaryngology,Laishan Branch of Yantai Yuhuangding Hospital,Qixia 264003,Shandong,China;2.Department of Otorhinolaryngology,Qixia People′ s Hospital,Yantai 265300,Shandong,China;3.Department of Otolaryngology and Head & Neck Surgery,Yantai Yuhuangding Hospital,Yantai 264000,Shandong,China)

【机构】 烟台毓璜顶医院莱山分院耳鼻喉科栖霞市人民医院耳鼻喉科烟台毓璜顶医院耳鼻咽喉头颈外科

【摘要】 目的探讨囊内划痕综合治疗耳郭假性囊肿的方法和疗效。方法对96例耳郭假性囊肿(其中23例为在外院进行过其他治疗的复发者)采用囊内划痕、穿刺抽液、曲安奈德注射液囊内冲洗加石膏固定方法进行治疗。结果随访6~12个月,94例疗效满意,术后无复发、感染及耳郭畸形。2例分别于术后2周和3周复发,行2次囊内划痕处理后治愈。结论囊内划痕综合治疗法创伤小,充分囊内划痕可以达到对囊内壁的确切破坏,长时间减少囊液渗出;同时使囊肿前后壁紧贴,囊内壁划痕创伤处黏连愈合。

【Abstract】 Objective To discuss the methodology and effect of intra-capsular scratching in treating pseudocyst of the auricle.Methods 96 patients with pseudocyst of the auricle(23 of them suffered relapses after being treated with different methods in other hospitals) underwent intracapsular scratching,tapping,triamcinolone injection and washing as well as plaster casting.Results After 6 to 12 months following-up,a satisfactory curative effect was obtained and no relapse,infection or ear deformity was found in 94 patients.2 patients suffered a relapse 2 weeks and 3 weeks after the treatment respectively,and were cured after a second intracapsular scratching.Conclusions The intracapsular scratching method has less trauma,and full intracapsular scratching can destroy the in-wall,decrease the effusion,and ensure adhesions between the inner walls.

  • 【文献出处】 山东大学耳鼻喉眼学报 ,Journal of Otolaryngology and Ophthalmology of Shandong University , 编辑部邮箱 ,2011年02期
  • 【分类号】R764.91
  • 【下载频次】23
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