CAJ | 학술논문

目的：总结并讨论扩张皮瓣下清洁冲洗加无菌化冲洗对处理八大处法耳廓再造Ⅰ期术后扩张早期感染的效果。方法回顾分析2013年7月1日至2013年7月31日我科收住的132名先天性小耳畸形患者,共埋置耳后扩张器137个，其中3例扩张器置入早期出现扩张囊腔内感染，左侧2例，右侧1例。此三例患者均为男性，分别为8岁，9岁，13岁，术后10-16天患者出现术区胀痛、局部张力增大，扩张皮瓣绯红、皮温升高，压痛阳性等表现。针对三例患者采取冲洗液为生理盐水、2%碘酒、75%酒精的扩张皮瓣下清洁冲洗加无菌化冲洗进行处理。结果本文所述3例扩张器置入术后感染患者经过5-10次冲洗后扩张皮瓣颜色恢复正常，局部症状消失，复查微生物培养结果均转阴，3例患者均恢复扩张器间断注水。注水过程中未见异常情况出现。三例患者均扩张完成并完成二期手术。结论扩张皮瓣下清洁冲洗加无菌化冲洗可以有效处理扩张器置入后扩张囊腔内早期感染，操作简单，周期短，为二期手术提供良好条件。
목적：총결병토론확장피판하청길충세가무균화충세대처리팔대처법이곽재조Ⅰ기술후확장조기감염적효과。방법회고분석2013년7월1일지2013년7월31일아과수주적132명선천성소이기형환자,공매치이후확장기137개，기중3례확장기치입조기출현확장낭강내감염，좌측2례，우측1례。차삼례환자균위남성，분별위8세，9세，13세，술후10-16천환자출현술구창통、국부장력증대，확장피판비홍、피온승고，압통양성등표현。침대삼례환자채취충세액위생리염수、2%전주、75%주정적확장피판하청길충세가무균화충세진행처리。결과본문소술3례확장기치입술후감염환자경과5-10차충세후확장피판안색회복정상，국부증상소실，복사미생물배양결과균전음，3례환자균회복확장기간단주수。주수과정중미견이상정황출현。삼례환자균확장완성병완성이기수술。결론확장피판하청길충세가무균화충세가이유효처리확장기치입후확장낭강내조기감염，조작간단，주기단，위이기수술제공량호조건。
Objective To report the effects of sub-flap cleaning-irrigation and Asepticizing-irrigation for early infec-tion after stage I operation in ear reconstruction using the Ba Da Chu method. Methods This retrospective study included 132 cases treated in July,2013, in which 3 (all males aged at 8, 9 and 13 years respectively) showed signs of expansion cavity infec-tion, including redness, swelling, pain and local tenderness, on Days 10-16 days after Stage I surgery (2 on left and 1 on right). We treated these three cases with cleaning-irrigation and Asepticizing-irrigation. The irrigating fluid was composed of normal saline, 2%iodine tincture and 75%alcohol. Results The expanded skin flaps in the 3 cases all returned to normal, with re-solved local symptoms and negative bacterial cultures. Skin expansion continued uneventfully thereafter and the second-stage operation was successfully completed in all three cases. Conclusion Sub-flap cleaning-irrigation and Asepticizing-irrigation is an easy, effective and time saving way to manage early infection of skin expansion cavity.