先天性耳廓畸形耳模矫正的疗效分析
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湖南省妇幼保健院

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基金支持: 新生儿耳廓形态数据库构建及耳廓无创矫正治疗的效果分析,长沙市自然科学基金,编号:kq2202473 新生儿耳廓畸形数据库构建及临床研究,湖南省妇幼保健院锐新培育计划,编号:2021RX24


Analysis of non-surgical correction of congenital auricular deformities in infants
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    目的 分析先天性耳廓畸形耳模矫正治疗的效果。方法 回顾2019年1月至2021年12月在湖南省妇幼保健院耳鼻咽喉科门诊进行耳模矫正的201人(318耳)先天性耳廓畸形患儿,按患儿开始治疗的日龄将其分为三组:<14天的患儿为1组共109人(181耳)、14~42天的患儿为2组共75人(117耳)、42~89天的患儿为3组共17人(20耳),分析三组间的治疗效果、治疗时长、并发症发生率等。结果 201人(318耳)先天性耳廓畸形患儿治疗的显效及治愈率为93.4%,佩戴时长平均32.4±10.8天,并发症发生率45.9%。1、2、3组患儿开始治疗的日龄分别为5.3±3.5天、25.2±8.2天和52.4±10.9天,三组的治疗显效及治愈率分别为96.7%、90.6%、80.0%, 组间差异有统计学意义(χ2=10.479,p=0.005);三组的矫正时长分别为30.2±10.4天、35.2±10.8天和35.5±9.7天, 组间差异有统计学意义(F=8.940,p=0.000);三组的并发症发生率分别为37.0%、59.8%和45.0%,差异有统计学意义(χ2=14.900,p=0.001)。结论 先天性耳廓畸形患儿通过耳模矫正可获得良好的治疗效果,14天内开始治疗有助于提高治疗效率,缩短治疗时长,降低并发症发生率。

    Abstract:

    Objective To study the effect of non-surgical correction of congenital auricular deformities in infants. Method We retrospected the infants treated with non-surgical auricular correction from January 2019 to December 2021 in Hunan Province Maternal and Child Health Care Hospital. The infants younger than 14 days of age were divided into group 1 (109 infants, 181 ears), infants aged 14-42 days were divided into group 2 (75 infants, 117 ears), and infants aged 42-89 days were divided into group 3 (17 infants, 20 ears). Then the outcome, treatment duration, and complication rates were calculated. Results A total of 201 infants (318 ears) were collected. The total success rate was 93.4%, the treatment duration was 32.4±10.8 days, and the incidence of complication was 45.9%. The success rates of the three groups were 96.7%、90.6%、80.0% respectively (χ2=10.479,p=0.005), indicating a statistically significant difference. The treatment duration was 30.2±10.4, 35.2±10.8, and 35.5±9.7 days respectively(F=8.940,p =0.000). The incidence of complications was 37.0%, 59.8%, and 45.0% respectively (χ2=14.900,p =0.001). Conclusion Non-surgical correction of auricular deformities in early time has a significant molding effect. Treatment within 14 days was better for improving efficiency, shortening the treatment duration, and reducing the incidence of complications.

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  • 收稿日期:2022-10-18
  • 最后修改日期:2022-12-29
  • 录用日期:2022-12-30
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