摘要
目的探讨国产耳廓矫形器对先天性耳廓畸形患儿的治疗效果。方法2018年4月至2019年5月安徽医科大学附属阜阳医院和安徽医科大学第一附属医院耳鼻喉科收治先天性耳廓畸形患儿29例(42只耳),年龄4 d至9岁,男13例(19只耳),女16例(23只耳);根据患儿的出生日龄分为3个组,日龄≤7 d为1组共7例(8只耳),8~42 d为2组共10例(14只耳),>42 d为3组共12例(20只耳),均采用"益耳"耳廓矫形器进行矫正,并比较不同日龄组患儿的治疗效果。结果根据疗效评价标准分为3个等级:显效及治愈,基本恢复正常外观;有效,较矫正之前有所改善,但未达到正常外观;无效,较矫正之前无改善。1、2、3组的显效及治愈率分别为100%(8/8)、85.7%(12/14)、45.0%(9/20),差异具有统计学意义(χ^2=10.818,P=0.04);耳廓矫形器佩戴时间分别为(20.75±6.50)d、(32.64±15.40)d、(48.23±17.32)d,1组<2组<3组,差异具有统计学意义(P<0.05)。结论国产耳廓矫形器对先天性耳廓畸形的患儿矫正效果显著,矫正年龄越小,疗效越好,矫形器佩戴时间越短。
Objective To explore the treatment effects of domestic auricular orthosis on children born with congenital auricular deformity.Methods Children born with congenital auricle deformity were treated by"Yi Er"auricle orthosis,included 42 ears of 29 cases.These children were divided into three groups according to the birth age.The age less than 7 days was divided into group 1,7-42 days for group 2,and more than 42 days for group 3.Compare the therapeutic effect of children in different ages.Results The therapeutic effect was divided into three grades:markedly effective and cured(basically return to normal appearance);effective(improved,but not reached the normal appearance);invalid(no improvement after treatment).The markedly effective and cured rate in group 1,group 2 and group 3 were 100%,85.7%and 45.0%,the difference was statistically significant(P<0.05),and the average correction time was(20.75±6.50)d,(32.64±15.40)d,(48.23±17.32)d,the difference was statistically significant(P<0.05).Conclusions The domestic auricle orthosis has a significant effect on the correction of children born with congenital auricular deformity.The better treatment effect and the shorter wearing time can be acquired in the early correction.
作者
余绍宸
姚昆
张建
邱建新
余崇仙
Yu Shaochen;Yao Kun;Zhang Jian;Qiu Jianxin;Yu Chongxian(Fuyang Clinical College of Anhui Medical University,Fuyang 236000,China;Department of Otolaryngology Head and Neck Surgery,Fuyang Hospital of Anhui Medical University,Fuyang 236000,China;Department of Otolaryngology Head and Neck Surgery,First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2020年第1期56-60,共5页
Chinese Journal of Plastic Surgery
关键词
耳廓
畸形
耳模矫正
治疗结果
分析
Auricle
deformity
Ear mold correction
Treatment outcome
Analysis
