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目的寻求缩短治疗先天性耳前瘘管感染期时间的方法。方法选择先天性耳前瘘管感染期患者129例,随机分为A、B两组,A组(58例)在感染期手术治疗,B组(71例)先行切开引流,待感染控制、切口愈合后行耳前瘘管切除术。A、B两组患者术后术腔均用碘酚进行处理。结果A组术后Ⅰ期愈合51例,Ⅱ期愈合4例,复发8例,B组术后Ⅰ期愈合68例,Ⅱ期愈合6例,复发5例。结论感染期及感染期控制后手术疗效无显著差异,耳前瘘管感染期手术可明显缩短治疗时间,值得推广应用。
Objective To seek ways to shorten the duration of congenital preemptectal fistula infection. Methods A total of 129 patients with congenital ear preecological fistula infection were randomly divided into A and B groups. Group A (58 cases) underwent surgical treatment during infection period. Group B (71 cases) Healed before ear fistula resection. A, B two groups of patients after surgery were treated with iodophor. Results In group A, 51 cases were healed in stage Ⅰ, 4 cases in stage Ⅱ, 8 cases were recurred in group A, 68 cases were cured in stage Ⅰ, 6 cases were cured in stage Ⅱ and 5 cases were recurred in group B. Conclusions There is no significant difference in the operative efficacy between infection and infection control. Ear surgery before fistula infection can shorten the treatment time significantly and is worth popularizing and applying.