中华耳科学杂志
中華耳科學雜誌
중화이과학잡지
CHINESE JOURNAL OF OTOLOGY
2013年
2期
269-271
,共3页
外耳道乳头状瘤%替尔式皮片%外耳道肿物
外耳道乳頭狀瘤%替爾式皮片%外耳道腫物
외이도유두상류%체이식피편%외이도종물
Papilloma of external auditory canal%Thiersh skin graft%External auditory canal tumor
目的探讨替尔式皮片在广基型外耳道肿物切除术后耳周缺损修复中应用的可行性及远期疗效。方法分析2009年10月至2012年11月我科收治的31例（40耳）外耳道肿物病人，病理。结果外耳道乳头状瘤22耳、外生性骨疣5耳、耵聍腺瘤2耳、外耳道胆脂瘤11耳。将术中显微镜下切除后出现外耳道环形缺损1/2周以下的患者20耳随机分为A、B两组，每组各10耳。外耳道环形缺损1/2周以上的患者20耳随机分为A1、B1两组，每组各10耳。A、A1组选择行耳后替尔式皮片修复，B、B1组患者未行耳后替尔式皮片修复，让创面自行修复。结果各组外耳道完全上皮化时间（天）A组（17.00±1.56），治愈率100%；B组（27.60±1.71），治愈率70%，两组上皮化时间有显著统计学差异；A1组（18.30±4.32），治愈率100%。B1组（34.60±3.34），治愈率60%，两组上皮化时间有显著统计学差异。A、A1组临床观察随访6-29月未有外耳道新生物复发和外耳道狭窄出现。结论耳后替尔式皮片在修复外耳道肿物切除术后耳周缺损效果可靠，大大缩短了术后愈合时间。可用于外耳道肿物切除术后外耳道缺损的修复。
目的探討替爾式皮片在廣基型外耳道腫物切除術後耳週缺損脩複中應用的可行性及遠期療效。方法分析2009年10月至2012年11月我科收治的31例（40耳）外耳道腫物病人，病理。結果外耳道乳頭狀瘤22耳、外生性骨疣5耳、耵聹腺瘤2耳、外耳道膽脂瘤11耳。將術中顯微鏡下切除後齣現外耳道環形缺損1/2週以下的患者20耳隨機分為A、B兩組，每組各10耳。外耳道環形缺損1/2週以上的患者20耳隨機分為A1、B1兩組，每組各10耳。A、A1組選擇行耳後替爾式皮片脩複，B、B1組患者未行耳後替爾式皮片脩複，讓創麵自行脩複。結果各組外耳道完全上皮化時間（天）A組（17.00±1.56），治愈率100%；B組（27.60±1.71），治愈率70%，兩組上皮化時間有顯著統計學差異；A1組（18.30±4.32），治愈率100%。B1組（34.60±3.34），治愈率60%，兩組上皮化時間有顯著統計學差異。A、A1組臨床觀察隨訪6-29月未有外耳道新生物複髮和外耳道狹窄齣現。結論耳後替爾式皮片在脩複外耳道腫物切除術後耳週缺損效果可靠，大大縮短瞭術後愈閤時間。可用于外耳道腫物切除術後外耳道缺損的脩複。
목적탐토체이식피편재엄기형외이도종물절제술후이주결손수복중응용적가행성급원기료효。방법분석2009년10월지2012년11월아과수치적31례（40이）외이도종물병인，병리。결과외이도유두상류22이、외생성골우5이、정녕선류2이、외이도담지류11이。장술중현미경하절제후출현외이도배형결손1/2주이하적환자20이수궤분위A、B량조，매조각10이。외이도배형결손1/2주이상적환자20이수궤분위A1、B1량조，매조각10이。A、A1조선택행이후체이식피편수복，B、B1조환자미행이후체이식피편수복，양창면자행수복。결과각조외이도완전상피화시간（천）A조（17.00±1.56），치유솔100%；B조（27.60±1.71），치유솔70%，량조상피화시간유현저통계학차이；A1조（18.30±4.32），치유솔100%。B1조（34.60±3.34），치유솔60%，량조상피화시간유현저통계학차이。A、A1조림상관찰수방6-29월미유외이도신생물복발화외이도협착출현。결론이후체이식피편재수복외이도종물절제술후이주결손효과가고，대대축단료술후유합시간。가용우외이도종물절제술후외이도결손적수복。
Objective To study the feasibility and long-term efficacy of Thiersh skin graft for repairing extensive skin de-fect after external auditory canal tumor resection. Method Data from 31 cases (40 ears) of external auditory canal tumor treat-ed by our department from October 2009 to November 2012 were reviewed. Pathological types included:papilloma (n=22), ex-ostosis (n=5), ceruminoma (n=2) and cholesteatoma (n=11). Twenty patients with circumferential defect below 1/2 ring were randomly divided into two groups (A and B, n=10 in each group), and 20 patients with circumferential defect over 1/2 ring were also randomly divided into two groups (A1 and B1, n=10 in each group). Patients in Groups A and A1 received repair with the Thiersh skin graft, while defects in those in Groups B and B1 were allowed to heal by themselves without Thiersh skin graft. Result The interval to complete epithelization was 17 ± 1.56 days in Group A (with a 100%rate of healing), 27.60 ± 1.71 days in Group B (with a 70%rate of healing). 18.30 ± 4.32 days in Group A1 (with a 100%rate of healing ), and 34.60 ± 3.34 days in Group B1 (with a 60%rate of healing). The differences in epithelization time between Groups A and B and between A1 and B1 were statistically significant. No recurrence of external auditory canal mass or stenosis occurred during the 6-29 months fol-low up in Groups A and A1. Conclusion Thiersh skin graft provides consistent advantage in repair of skin defect after external auditory canal tumor resection, with greatly shortened healing time.
