CAJ | 학술논문

目的：探讨皮肤扩张法耳再造术在先天性小耳廓中的应用及影响疗效的并发症分析。方法选择该院收治的先天性小耳廓患者57例，分为观察组28例，对照组29例，观察组使用多孔高密度聚乙烯（medpor）支架和引流容积大的引流装置，对照组使用自体肋软骨支架和引流容积小的引流装置。结果57例取得良好的治疗效果。观察组并发症中颅耳角狭窄、两侧耳廓不对称的比例与对照组比较，差异具有统计学意义（ P＜0．05）；观察组在6、12、24 h的负压值明显高于对照组（ P＜0．05）；观察组在12、24 h的引流量明显高于对照组（ P＜0．05）。结论皮肤扩张法耳再造术应用于先天性小耳廓成功率高，使再造耳具有立体感，各形态清晰，患者满意。采用新材料和大容积引流装置可减少并发症，更好地确保疗效。
목적：탐토피부확장법이재조술재선천성소이곽중적응용급영향료효적병발증분석。방법선택해원수치적선천성소이곽환자57례，분위관찰조28례，대조조29례，관찰조사용다공고밀도취을희（medpor）지가화인류용적대적인류장치，대조조사용자체륵연골지가화인류용적소적인류장치。결과57례취득량호적치료효과。관찰조병발증중로이각협착、량측이곽불대칭적비례여대조조비교，차이구유통계학의의（ P＜0．05）；관찰조재6、12、24 h적부압치명현고우대조조（ P＜0．05）；관찰조재12、24 h적인류량명현고우대조조（ P＜0．05）。결론피부확장법이재조술응용우선천성소이곽성공솔고，사재조이구유입체감，각형태청석，환자만의。채용신재료화대용적인류장치가감소병발증，경호지학보료효。
Objective To investigate the application of skin expansion ear reconstruction on congenital microtia and analysis the complications .Methods Selected 57 patients with congenital microtia in this hospital ,medpor bracket and drainage volume large drainage device were applied in 28 cases of observation group and costicartilage bracket since body and drainage volume small drain-age device were applied in 29 cases of control group .Results 57 cases achieved good therapeutic effect .Complication of narrow au-riculocephalic angular ,both sides of the pinna asymmetry in observation group had significant difference with control group (P<0 .05);The negative pressure value at 12 ,24 hours in observation group was significantly higher than in control group (P<0 .05);Drainage volume at 6 ,12 ,24 hours in observation was significantly higher than that of control group (P<0 .05) .Conclusion Skin expansion ear reconstruction on congenital microtia had high success rate ,reengineering ear has dimensional sense .The use of new materials and the large volume of drainage device can reduce complications ,and ensure the efficacy .