感染期普通型耳前瘘管手术时机选择及疗效分析

Analysis of surgical timing and curative effect for common preauricular fistula in infection period

摘要:

目的 比较不同手术时机感染期普通型耳前瘘管手术治疗的临床疗效差异。方法 选取2021年1月—2024年6月收治的57例感染期普通型耳前瘘管手术患儿，根据手术时机分为红肿初期组12例、红肿迁延期组17例、脓肿局限期组28例，比较3组患儿的手术时长、术后复发率、切口愈合情况及术后瘢痕评估得分情况。结果 3组患儿术后复发率、切口愈合情况差异无统计学意义(P>0.05)。脓肿局限期组患儿平均手术时间大于另外两组(P<0.05)，而术后瘢痕评估得分小于另外两组，差异具有统计学意义(P<0.01)。结论 感染期耳前瘘管手术临床上可行，手术时机选取感染早期未形成局部脓肿阶段，有利于提高手术效率，缩短手术时长，同时提高术后瘢痕评估的满意度。

Abstract:

Objective To compare the clinical efficacy of surgical treatment at different times for common preauricular fistulas during infection period.Methods A total of 57 children who underwent surgical treatment for common preauricular fistula during infection period from January 2021 to June 2024 were selected. According to surgical timing, they were divided into three groups, including 12 cases in the early redness and swelling group, 17 cases in the delayed redness and swelling group, and 28 cases in the localized abscess group. The operation duration, postoperative recurrence rate, incision healing status, and postoperative scar evaluation scores among the three groups were compared.Results There were no significant differences in the postoperative recurrence rate and incision healing among the three groups (P>0.05). The mean operation time of the localized abscess group was longer than that of the other two groups, while the postoperative scar evaluation score was lower than that of the other two groups (P<0.05), and the differences were statistically significant (P<0.01).Conclusions The surgery for preauricular fistula during the infection stage is clinically feasible. Selecting the early stage of infection when no local abscess has formed is conducive to improving the surgical efficiency, shortening the operation time, and simultaneously enhancing the satisfaction of postoperative scar evaluation.