【摘 要】
：
目的:通过对脓肿期耳前瘘管患者行一期瘘管切除或切排后延期瘘管切除疗效观察,探讨脓肿期耳前瘘管的最佳治疗方案.方法:将64例脓肿期耳前瘘管患者随机分成一期瘘管切除组(简称一期手术组)和脓肿切排炎症控制后瘘管切除组(简称延期手术组),观察伤口愈合时间及瘘管感染复发情况.结果:两组患者在年龄、性别上分布均衡,差异无统计学意义.延期手术组患者伤口愈合时间中位数为20 d,一期手术组患者伤口愈合时间中位数为
【机 构】
：
武汉大学人民医院耳鼻咽喉头颈外科 武汉普爱医院耳鼻咽喉头颈外科
【出 处】
：
2014第四届全国耳鼻咽喉科医师大会
论文部分内容阅读
目的:通过对脓肿期耳前瘘管患者行一期瘘管切除或切排后延期瘘管切除疗效观察,探讨脓肿期耳前瘘管的最佳治疗方案.方法:将64例脓肿期耳前瘘管患者随机分成一期瘘管切除组(简称一期手术组)和脓肿切排炎症控制后瘘管切除组(简称延期手术组),观察伤口愈合时间及瘘管感染复发情况.结果:两组患者在年龄、性别上分布均衡,差异无统计学意义.延期手术组患者伤口愈合时间中位数为20 d,一期手术组患者伤口愈合时间中位数为14.5 d,差异有统计学意义.随访时间7～26个月,无失访病例,两组均无瘘管感染复发病例.结论:脓肿期耳前瘘管行一期瘘管切除较脓肿切排后延期瘘管切除外科修复时间更短,可能避免瘘管感染复发,可作为首选治疗方案.
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