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近4年,我科采用抽液后石膏固定、注射硬化剂、手术摘除术三种疗法治疗耳廓浆液性骨软骨膜炎60例,结果报告如下。1 临床资料1.1 病例:60例中,男45例,女15例,年龄17～63岁。有明显外伤史20例。1.2 治疗方法1.2.1 抽液后石膏固定治疗法:45例。局部常规消毒,于囊肿最低处穿刺抽尽囊内液体。将调好的石膏糊将囊肿面、耳背面、耳廓上部,均匀固定,灯烘干。嘱半月内不可将石膏脱落。结果:4例因1周内石膏脱落后复发而行再次石膏固定后治愈,余41例均1次性治愈,耳廓无明显增厚或变形。1.2.2 抽液后囊内注射硬化剂:10例。囊肿抽液后,向囊腔内注射5-氟尿嘧啶1～2ml。结果:一次性治愈3例,7例1周后复发中5例给予再抽液后行
Nearly 4 years, our department has adopted the pumping of plaster after fixation, injection sclerotherapy, surgical removal of three kinds of treatment of auricle serous osteochondritis 60 cases, the results reported below. 1 clinical data 1.1 cases: 60 cases, 45 males and 15 females, aged 17 to 63 years. There are obvious history of trauma in 20 cases. 1.2 treatment 1.2.1 after plaster immobilization therapy: 45 cases. Local routine disinfection, the lowest puncture in the cyst sucked liquid bag. The plaster paste will be adjusted to the cyst surface, the back of the ear, the upper part of the auricle, uniform fixation, lamp drying. Tip half a month can not be plaster off. Results: In 4 cases, the gypsum recovered after one week of gypsum recurrence and was cured again. All the remaining 41 cases were cured one time, and there was no obvious thickening or deformation of the pinna. 1.2.2 After intracapsular injection of hardener fluid: 10 cases. Cysts after pumping fluid to the cysts cavity injection of 5-fluorouracil 1 ~ 2ml. Results: Three cases were cured in one time, and five cases recurred after one week in seven cases