CAJ | 학술논문

目的探讨感染期先天性耳前瘘管的治疗及手术方式.方法对53例先天性耳前瘘管伴感染患者临床资料进行回顾性分析,总结治疗特点及手术方式.结果本组53例感染期病例均获痊愈.其中病变范围小而未形成脓肿者先行抗生素治疗控制急性感染后行瘘管切除16例,无1例复发;脓肿行成并切开排脓,抗生素治疗后炎症控制,皮肤恢复正常形态后再行瘘管切除22例,复发1例,2次手术治愈;感染期手术15例.无1例复发.无1例患者发生术后切口感染、耳廓软骨膜炎等并发症.结论本组资料表明在感染期行切开引流,换药冲洗等使病变范围缩小后即行瘘管切除术,及时清除病灶,使炎症急性期缩短,只需一期手术即可治愈.
목적탐토감염기선천성이전루관적치료급수술방식.방법대53례선천성이전루관반감염환자림상자료진행회고성분석,총결치료특점급수술방식.결과본조53례감염기병례균획전유.기중병변범위소이미형성농종자선행항생소치료공제급성감염후행루관절제16례,무1례복발;농종행성병절개배농,항생소치료후염증공제,피부회복정상형태후재행루관절제22례,복발1례,2차수술치유;감염기수술15례.무1례복발.무1례환자발생술후절구감염、이곽연골막염등병발증.결론본조자료표명재감염기행절개인류,환약충세등사병변범위축소후즉행루관절제술,급시청제병조,사염증급성기축단,지수일기수술즉가치유.
Objective Explore the treatment of congenital preauricular fistula and surgical infection. Method A retrospective analysis of 53 cases of congenital preauricular fistula patients with infection and clinical data, summarizes the treatment characteristics and surgical approach. Result smal without formation of the abscess first antibiotic treatment to control acute infection underwent fistula excision of 16 cases, no recurrence; abscess line into the incision, the inflammation was controled after antibiotic treatment, the skin to restore normal form and then OK fistula resection in 22 cases, 1 case of recurrence, 2 times a surgical cure; infection surgery 15 cases. No recurrence. No one patient had postoperative infection, auricular perichondritis complications. Conclusion The data show that in the period of infection line incision and drainage, dressing flushing, narrow lesions goes namely after resection of the fistula, and timely cleaning lesions, make inflammation acute period shorten, just a period operation can be cured. This group of 53 cases of infection patients were cured. Which lesions