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目的 :总结第一鳃裂瘘管药物保守治疗和手术治疗的经验。方法 :回顾分析 1988至 2 0 0 1年间经治的第一鳃裂瘘管 97例的临床资料。将 97例随机分为药物治疗组 32例 ,手术组 6 5例。结果 :药物治疗组32例、34耳 ,经抗生素治疗和切开排脓引流换药临床治愈 ,随访 1～ 10年 ,8例复发而行手术治疗。手术组6 5例、6 8耳 ,术后Ⅰ期愈合 6 5耳 ,Ⅱ期愈合 3耳 ,随访 1～ 10年除 4例失访外无复发。结论 :使用药物保守治疗第一鳃裂瘘管继发感染复发率高。手术彻底切除第一鳃裂瘘管是控制感染治疗第一鳃裂瘘管和预防复发的适宜方法
OBJECTIVE: To summarize the experience of conservative treatment and surgical treatment of the first branchial fistula. Methods: The clinical data of 97 cases of the first branchial fistula treated between 1988 and 2001 were retrospectively analyzed. 97 cases were randomly divided into drug treatment group 32 cases, operation group 65 cases. Results: 32 cases of drug treatment group, 34 ears, cured by antibiotics and drainage of drainage drainage clinical cure, follow-up of 1 to 10 years, 8 cases of recurrent surgical treatment. There were 65 cases in the operation group and 68 cases in the operation group. Six cases were healed in the first stage of operation and 3 cases were healed in the second stage. No recurrence was found in 4 cases in follow-up between 1 and 10 years. Conclusion: The recurrence rate of the secondary gill fistula after conservative treatment with drug is high. Surgical removal of the first branchial fissure is the appropriate method of controlling infection for the first branchial fistula and preventing recurrence