不同时期手术治疗小儿先天性耳前瘘管疗效观察.docVIP

不同时期手术治疗小儿先天性耳前瘘管的疗效观察 　　【摘要】 目的 观察不同时期手术治疗小儿先天性耳前瘘管的疗效。方法 70例先天性耳前瘘管患儿作为研究对象， 并根据患儿所处的炎症分期进行分组， 研究组为非炎症期患儿（35例）， 对照组为炎症初期或初步得到控制患儿（35例）， 均予以实施手术治疗， 比较两组患儿的临床治疗效果、术后复发情况和住院费用。结果 治疗后研究组患儿治愈20例、有效14例、无效1例， 治疗总有效率为97.14%；对照组患儿治愈13例、有效12例、无效10例， 治疗总有效率为71.43%。研究组临床治疗总有效率高于对照组， 差异有统计学意义（P0.05）。研究组患儿的术后复发率2.86%低于对照组的17.14%；住院费用（5101.21±511.21）元明显低于对照组的（8211.67±498.77）元， 差异有统计学意义（P0.05）。结论 在小儿先天性耳前瘘管非炎症期间实施手术治疗的临床效果较为显著， 临床治疗时应把握好患儿的手术时机， 以此达到令人满意的手术效果。 　　【关键词】 先天性耳前瘘管；手术治疗；不同时期；疗效；小儿 　　DOI：10.14163/j.cnki.11-5547/r.2016.32.008 　　【Abstract】 Objective To observe curative effects by surgical treatment in different periods for pediatric congenital preauricular fistula. Methods A total of 70 children patients with congenital preauricular fistula as study subjects were divided by their inflammation staging into research group with non-inflammatory phase children （35 cases） and control group with early inflammatory phase or preliminarily controlled children （35 cases）. They all received surgical treatment. Comparison was made on clinical effect， postoperative recurrence and hospitalization cost between the two groups. Results After treatment， the research group and 20 cured cases， 14 effective cases and 1 ineffective case， with total effective rate of treatment as 97.14%. The control group had 13 cured cases， 12 effective cases and 10 ineffective cases， with total effective rate of treatment as 71.43%. The research group had higher clinical total effective rate than the control group， and the difference had statistical significance （P0.05）. The research group had lower postoperative recurrence rate as 2.86% than 17.14% in the control group， and its hospitalization cost was much lower as （5101.21±511.21） yuan than （8211.67±498.77） yuan in the control group， and their difference had statistical significance （P0.05）. Conclusion Implement of surgery during non-inflammatory phase of pediatric congenital preauricular fistula shows excellent clinical effect. Taking good time chanc