复方倍他米松注射液治疗耳廓假性囊肿临床疗效观察.doc

复方倍他米松注射液治疗耳廓假性囊肿临床疗效观察[摘要] 目的 观察复方倍他米松注射液治疗耳廓假性囊肿的临床疗效，为临床治疗方案的选择提供参考。方法 选择我院耳鼻喉科2009年1月～2010年8月收治的耳廓假性囊肿患者88例，随机分为两组。对照组采用抽液后石膏加压法治疗，观察组采用抽液后局部注射复方倍他米松治疗，观察并比较两组患者的临床疗效。结果 对照组治愈15例，有效20例，总有效率79.55%，观察组治愈35例，有效8例，总有效率97.73%。两组患者总有效率比较，差异有统计学意义（P＜0.01）。结论 采用复方倍他米松注射液治疗耳廓假性囊肿操作简便、疗效确切，值得临床推广。 [关键词] 复方倍他米松；石膏加压；耳廓假性囊肿 [中图分类号] R764[文献标识码] B[文章编号] 1673-9701（2011）25-85-02 Compound Betamethasone Injection in Treatment of Auricular Pseudocyst BAI Zhuxiang Department of ENT，Luoyang City First People’s Hospital in Henan Province，Luoyang 471000，China [Abstract] Objective To observe compound betamethasone injection in the treatment of auricular pseudocyst. Methods We selected the ENT hospital in January 2009 to August 2010 patients 88 cases with auricular pseudocyst. The cases were randomly divided into two groups. The control group were treated with plaster pumping fluid pressure after treatment in the observation group were treated with pumping fluid after local injection of betamethasone therapy compound，observe and compare the clinical efficacy of two groups of patients. Results The control group were cured 15 cases，effective in 20 cases，79.55% total efficiency，the observation group were cured 35 cases，effective in 8 cases，the total efficiency of 97.73%. The difference of total efficiency between two groups was statistically significant（P＜0.01）. Conclusion Compound betamethasone injection auricular pseudocyst is simple，effective，worthy of promotion. [Key words] Compound betamethasone；Plaster pressure；Auricular pseudocyst 耳廓假性囊肿是耳鼻喉科临床常见的疾病之一，又称耳廓非化脓性软骨膜炎。我院2009年1月～2010年8月采用复方倍他米松注射液治疗耳廓假性囊肿，取得了较满意的效果，现将结果报道如下。 1资料与方法 1.1一般资料 选择我院耳鼻喉科2009年1月～2010年8月收治的耳廓假性囊肿患者88例，年龄22～54岁，平均年龄（37.1±15.8）岁；其中男79例，女9例。全部患者均为单耳发病；病变部位耳甲腔14例、三角窝39例、舟状窝35例；其中左耳45例，右耳43例；具体表现为耳廓肿胀、积液，少数患者局部微痛。将患者随机分为对照组和观察组，每组各44例。两组患者性别比、年龄、病变部位等方面比较，差异无统计学意义（P＞0.05），具有可比性。 1.2治疗方法 两组患者常规局部消毒后均于囊肿最隆起处穿刺，完全抽取囊肿内体液。对照组患者拔出穿刺针后按压穿刺部位5min，以预先调好的糊状石膏覆盖于患处，加压固定7d。观察组患者抽液后于囊腔内局部注射