| 全世明,王昱,徐佳,等.耳廓外伤 39例的修复整形[J].安徽医药,2020,24(12):2371-2373. |
| 耳廓外伤 39例的修复整形 |
| Restoration and plastics of 39 cases withauricle trauma |
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| DOI：10.3969/j.issn.1009?6469.2020.12.010 |
| 中文关键词: 创伤和损伤 耳廓 外伤 皮肤移植 外科，整形 |
| 英文关键词: Wounds and injuries Auricle Trauma Skin transplantation Surgery,plastic |
| 基金项目:国家卫生健康委能力建设和继续教育中心2019年专项基金资助项目(GWJJ2019100303) |
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| 中文摘要: |
| 目的探讨耳廓外伤的急诊处理及整形修复方法等。方法对北京积水潭医院自 2008年 1月至 2017年 12月期间， 39例耳廓外伤住院病例进行统计分析。包括年龄、性别、致伤原因、损伤程度及分类、就诊时间、手术方式、愈合时间、愈合情况等。结果 Ⅰ期行清创缝合术 29例、清创缝合术 +皮片移植 6例、清创缝合术 +显微血管吻合术 4例等，其中 31例为 Ⅰ期愈合，耳廓外形满意。另 6例Ⅱ期愈合， 2例失访。结论及时就诊、依损伤程度设计适当的手术修复方案、预防和控制感染、严格无菌操作及换药、综合治疗是提高耳廓外伤治愈率的关键。 |
| 英文摘要: |
| Objective To explore the methods of emergency treatment and plastic repair of the open trauma of the auricle.Meth? ods Thirty?ninepatients with open wounded auricle hospitalized in Beijing Jishuitan Hospital from January 2008 to December 2017were selected for the study.Analysis was made of age，sex，cause of trauma，degree of injury and classification，time for emergency treatment，surgical options，healing time，and healing conditions of these cases.Results Twenty?nine cases underwent debridement and suture，6 cases debridement and suture plus skin graft，and 4 cases debridement and suture plus microvascular anastomosis.To?tally 31 cases healed by first intention with satisfactory auricle shape.The other 6 cases healed in stage Ⅱ and 2 cases were lost.Conclusion The keys to improving the cure rate of auricle trauma are timely consultation，appropriate surgical repair plan accord? ing to the degree of injury，prevention and control of infection，strict aseptic operation，dressing change and comprehensive treatment. |
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