摘要
目的报道应用显微外科吻合血管治疗5例耳廓离断伤的临床体会。方法 2011年6月～2016年6月,对5例患者的离断耳廓,行急诊清创显微外科吻合血管,离断组织伤后3～8 h,均手术成功重建供血,术后按再植常规给予"三抗"及补液等治疗。结果 4例再植耳廓完全成活,1例因血供障碍坏死,4例术后随访至1年,耳廓外观功能良好、有轻度萎缩及色素沉着,并恢复部分感触觉,冬天无冻疮出现。结论采用显微外科吻合血管的方法治疗耳廓离断伤,术后恢复效果良好。
Objective To report the clinical experience of 5 cases of auricle severed injury treated with microsurgical anastomosis vessel.Methods From June 2011 to June 2016,5 patients were treated with emergency debridement and microsurgical anastomosis,and 3~8 h after the severed tissue.All the patients were successfully reconstructed and supplied with blood.After operation,they were given "three anti" and fluid replacement therapy.Results 4 cases of replanted ears survived completely,1 case was necrosis due to blood supply disorder,4 cases were followed up to 1 years after operation,the auricular appearance function was good,slight atrophy and pigmentation,and part of sense touch was restored,and there was no chilblain in winter.Conclusion The method of microsurgical anastomosis of blood vessels is used to treat the injury of the auricle,and the recovery effect is good after the operation.
作者
何小鹏
张亚斌
李敏杰
姚永锋
李强
蒋永彬
瞿超
黄省利
HE Xiaopeng;ZHANG Yabin;LI Minjie;YAO Yongfeng;LI Qiang;JIANG Yongbin;QU chao;HUANG Shengli(Department of Hand and Foot Surgery,Fourth People's Hospital of Shaanxi province,Xi'an 710043,China)
出处
《中国中西医结合耳鼻咽喉科杂志》
2019年第2期109-111,共3页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
