摘要
目的:探讨再造耳廓生长情况,并分析影响颅耳角成形的相关因素。方法:回顾性分析120例单侧行耳廓再造术患者临床资料,比较术前及术后3个月、6个月、12个月时再造耳与正常耳耳廓投影面积变化,根据再造耳颅耳角成形情况将其分为欠佳组(n=24)与满意组(n=96),将两组各临床资料实施单因素比较,对比较结果中存在统计学意义的项目采取Logistic多元逐步回归分析。结果:术后3个月、6个月、12个月时,再造耳耳廓投影面积水平均较术前有显著提升,且与同一时间健康耳比较均无统计学意义(P>0.05)。两组性别、再造耳侧、皮片水疱、接受耳洞护理情况比较均无统计学意义(P>0.05),而年龄≥13岁、有瘢痕增生及未使用护耳器具均是导致颅耳角成形欠佳的独立危险因素(P<0.05)。结论:耳廓再造术后患耳耳廓生长情况良好,术式可行性极佳,而颅耳角成形效果则与年龄、瘢痕增生及使用护耳器具状况密切相关,临床诊治与随访干预工作均需引起足够重视。
Objective:To explore the growth of reconstructed auricles and analyze the related factors affecting the formation of cranioauricular angle.Methods:The clinical data of 120 patients with unilateral auricular reconstruction were retrospectively analyzed.The auricle projection areas of reconstructed ear and normal ear were compared before operation and at 3 months,6 months and 12 months after operation.According to formation of cranioauricular angle of reconstructed ear,the patients were divided into poor group(n=24)and satisfactory group(n=96).The clinical data of the two groups were compared by univariate analysis,and the items with statistically significant differences in the comparison result were given Logistic multivariate stepwise regression analysis.Results:At 3 months,6 months and 12 months after operation,the auricle projection area of reconstructed ear was significantly higher than that before operation,and there was no statistically significant difference compared with that in normal ear at the same time(P>0.05).There were no significant differences between the two groups in gender,reconstructed auricles,skin blisters,ear piercing or skin care(P>0.05),but age≥13 years old,scar hyperplasia and no use of ear protectors were independent risk factors for poor formation of cranioauricular angle(P<0.05).Conclusions:Auricle growth is good in patients after auricle reconstruction,and the surgical procedure is very feasible.And the effect of cranioauricular angle formation is closely related to age,scar hyperplasia and the use of ear protectors.Clinical diagnosis and follow-up interventions are required to cause enough attention.
作者
张越
黄建琼
吴直惠
王艳琼
胡敏
ZHANG Yue;HUANG Jianqiong;WU Zhihui(West China Hospital of Sichuan University,Sichuan Chengdu 610041,China)
出处
《河北医学》
CAS
2018年第12期1995-1999,共5页
Hebei Medicine
基金
四川省卫生和计划生育委员会项目
(编号:18PJ296)
关键词
耳廓再造术
生长情况
颅耳角
成形
因素
Auricular reconstruction
Growth
Cranioauricular angle
Formation
Factors
