負(fù)壓引流在Nd:YAG激光治療耳廓假性囊腫中的療效及對外形恢復(fù)的影響

陳進(jìn)芬 吳志勇 馬新明

[摘要]目的：觀察負(fù)壓引流在Nd：YAG激光治療耳廓假性囊腫中的療效及對外形恢復(fù)的影響。方法：選取筆者醫(yī)院收治的80例耳廓假性囊腫患者，應(yīng)用數(shù)字表法隨機(jī)分為兩組，對照組采用Nd：YAG激光+加壓包扎法治療，觀察組采用Nd：YAG激光+負(fù)壓引流法，比較兩組一次根治率、平均治愈時間、不良事件與反應(yīng)情況、復(fù)發(fā)率及外形恢復(fù)情況。結(jié)果：觀察組一次根治率80.00%顯著高于對照組的52.50%，且觀察組平均治愈時間（9.35±1.24）d顯著短于對照組的（15.38±1.96）d，差異均有統(tǒng)計學(xué)意義（P<0.05）。對照組3例（7.50%）感染，觀察組2例患者2次置管，2例產(chǎn)生耳廓紅腫積膿反應(yīng)，總不良事件與反應(yīng)發(fā)生率為10.00%，但組間比較差異無統(tǒng)計學(xué)意義（P>0.05）。觀察組1例（2.50%）復(fù)發(fā)，對照組2例（5.00%）復(fù)發(fā)，差異無統(tǒng)計學(xué)意義（P>0.05）。觀察組1例局部皮膚稍微有增厚、粗糙改變，1例耳廓產(chǎn)生米粒大小硬結(jié)，但是均不易發(fā)現(xiàn)，未對耳廓外形美觀產(chǎn)生影響;對照組2例耳廓局部皮膚稍增厚，亦未影響耳廓外形。結(jié)論：Nd：YAG激光聯(lián)合負(fù)壓引流可有效提高耳廓假性囊腫一次根治率，縮短治愈進(jìn)程，不良事件與反應(yīng)少，且不會影響耳廓外形美觀。

[關(guān)鍵詞]Nd：YAG激光;負(fù)壓引流;耳廓假性囊腫;外形美觀

[中圖分類號]R622 ? ?[文獻(xiàn)標(biāo)志碼]A ? ?[文章編號]1008-6455（2019）11-0015-03

Abstract： Objective ?To observe the curative effect of negative pressure drainage on auricle pseudocyst treated by Nd：YAG laser and its influence on appearance recovery. Methods ?80 patients with auricle pseudocyst admitted to the hospital were randomly divided into two groups by number table method. The control group was treated with Nd：YAG laser and pressure bandaging. The observation group was treated with Nd：YAG laser and negative pressure drainage. The one-time radical cure rate， average cure time， adverse events and response， recurrence rate and appearance recovery were compared between the two groups. Results ?The one-time cure rate of the observation group was 80.00% significantly higher than 52.50% of the control group， and the average cure time of the observation group was （9.35±1.24）d significantly shorter than that of the control group （15.38±1.96）d， the differences were statistically significant（P<0.05）. There were 3 cases （7.50%） of infection in control group， 2 cases of catheterization in observation group and 2 cases of auricular redness and empyema. The total incidence of adverse events and reactions was 10.00%， but there was no significant difference between the two groups（P>0.05）. One case recurred in the observation group （2.50%） and two cases ?in the control group（5.00%）， there was no significant difference （P>0.05）. In the observation group， there was one case with the local skin slightly thickened and roughened. There was one case with an induration of rice size in the auricle. But they were not easy to be found， no effect on the appearance of auricle. In the control group， there were 2 cases with local auricle skin slightly thickened， no effect on the appearance of auricle. Conclusion ?Nd：YAG laser combined with negative pressure drainage can effectively improve the one-time radical cure rate of auricle pseudocyst， shorten the cure process， with less adverse events and response， and will not affect the appearance of auricle.

Key words： Nd：YAG laser; negative pressure drainage; auricle pseudocyst; aesthetic appearance

耳廓假性囊腫屬于軟骨里面漿液性滲出性炎癥，具有無菌性，亦有耳廓軟骨間積液或者耳廓漿液性軟骨膜炎之稱。耳廓假性囊腫中有漿液性滲出物，一般發(fā)生于患者耳廓外側(cè)前部[1]。有調(diào)查顯示，相較于女性，男性耳廓假性囊腫發(fā)病率更高，且好發(fā)于20～50歲[2-3]。……