两种负压引流法在外耳再造术后的应用

发布时间：2018-04-28 01:50

  本文选题：耳再造 + 负压引流　； 参考：《重庆医学》2014年27期

【摘要】：目的探讨两种负压引流法用于外耳再造术后引流的效果。方法选择2009~2012年在该院整形美容外科行外耳再造手术的患者196例(201只耳),随机分为两组,注射器负压组58例共计60只再造耳,采用注射器负压引流法;中心负压组138例共计141只再造耳,采用中心负压引流法。比较两组患者术后并发症发生情况。结果中心负压组术后并发症除积血外,肿胀发生情况均低于注射器负压组,差异有统计学意义(P0.05);中心负压组耳甲腔皮瓣坏死、皮瓣边缘坏死、耳支架外露发生情况明显低于注射器负压组,差异有统计学意义(P0.01)。结论外耳再造术后使用中心负压引流法比注射器负压引流法效果更好,并发症更少。
[Abstract]:Objective to investigate the effect of two negative pressure drainage methods on external ear reconstruction. Methods A total of 196 patients (201 ears) with external ear reconstruction were randomly divided into two groups: 58 patients with negative pressure syringe (n = 58) and 60 ears reconstructed by negative pressure syringe drainage. In the central negative pressure group, 141 ears were reconstructed with central negative pressure drainage. To compare the incidence of postoperative complications between the two groups. Results the postoperative complications in the central negative pressure group were lower than those in the syringe negative pressure group (P 0.05), the incidence of swelling was lower than that in the syringe negative pressure group (P 0.05), the ear nail flap necrosis and the flap edge necrosis in the central negative pressure group. The incidence of ear stent exposure was significantly lower than that of syringe negative pressure group (P 0.01). Conclusion the central negative pressure drainage method is more effective than the syringe negative pressure drainage method after external ear reconstruction.
【作者单位】： 第三军医大学西南整形美容外科医院;
【分类号】：R764.1
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本文编号：1813254