摘要
目的:探讨内窥镜辅助的耳后扩张器置入手术配合要点。方法:对先天性小而畸形患者采用内窥镜辅助进行耳后扩张器置入术,充分缩短了手术时间,从而减轻患者痛苦。结果:内镜辅助的扩张器置入术平均手术时间仅为15~30 min。本组患者共85例,其中76例患者手术效果良好,如期完成扩张并接受耳再造手术,所有患者均未出现血肿、血清肿、伤口愈合不良等情况,并发症发生率均低于既往报道。结论:利用内窥镜进行耳后扩张器置入术,使得手术切口长度可以缩短,剥离层次及位置控制更为精确,术区的暴露更理想,能够很好的控制术区出血并严格止血,显著降低了术后各项并发症的发生率。
Objective To study the essential Operative Cooperation of implanting the Tissue expander assisted with endoscope in auricle reconstruction. Methods We analyzed 85 patients of congenital microtia, who were treated by Endoscope-assisted with implanting the tissue expander surgery in the ear. The operation can shorten the operation time for reduce the patients' pain. Results The operative time of the endoscope-assisted implantation average takes about 15-30 min. 76 cases of the patients have gotten the very good results. All patients have not developed a hematoma, seroma, poor wound healing and so forth. The complication rates were lower than that ever reported. Conclusion Implanting the Tissue expander assisted with endoscope in auricle reconstruction not only shorten the incision length but also stripping more precise, the more operation area has exposed, the hemorrhage and strictly hemostatic can be controlled better. With reduced the incidence of various complications after surgery.
出处
《中国美容医学》
CAS
2016年第1期89-91,共3页
Chinese Journal of Aesthetic Medicine
关键词
先天性小耳畸形
内窥镜
扩张器
手术配合
congenital microtia
endoscope
expander
operative cooperation