188比分网

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                        • ERBIHOUZIXUNREXIAN:

                          耳廓再造常见问题解答

                          采编来源:武汉民生眼耳鼻喉专科医院   发布时间:2019年08月30日  

                          重点提要:耳廓再造常用的方法有: (1)自体肋软骨两次法(Nagata法、直埋法); 一期手术,取肋软骨,并雕刻成耳形支架,埋入耳后皮肤下; 二期手术,立耳,把埋置后平贴在头颅表面的耳朵分开立起。 (2)自体肋软骨耳后皮肤扩张半包法(半包法); 就是雕刻的软骨耳形支架的前

                            ERKUOZAIZAOCHANGYONGDEFANGFAYOU:

                            (1)ZITILEIRUANGULIANGCIFA(NagataFA、ZHIMAIFA);

                            YIQISHOUSHU,QULEIRUANGU,BINGDIAOKECHENGERXINGZHIJIA,MAIRUERHOUPIFUXIA;

                          188比分网   ERQISHOUSHU,LIER,BAMAIZHIHOUPINGTIEZAITOULUBIAOMIANDEERDUOFENKAILIQI。

                            (2)ZITILEIRUANGUERHOUPIFUKUOZHANGBANBAOFA(BANBAOFA);

                            JIUSHIDIAOKEDERUANGUERXINGZHIJIADEQIANMIAN(ZHENGMIAN)YONGKUOZHANGDEPIFUFUGAIDEFANGFA,ERZHIJIADEHOUMIAN(BEIMIAN)YONGJINMOFUGAIBINGZHIPI,SHOUSHUYAO3CI。

                            DIYICISHOUSHUZAICANERHOUPIFUXIAMAIZHIYIGE50HAOSHENGSHUINANG(JIPIFUKUOZHANGQI),ZHUYUANSHIJIANYUE5TIANZUOYOU,SHOUSHUHOU7TIANKAISHIZHURUSHENGLIYANSHUI,GETIANZHUSHUIYICI,ZHUMANYUE70HAOSHENGZUOYOUYUEXU1GEYUE,ZHUSHUIWANCHENGHOUXIUYANG1GEYUEZAILAIYIYUANXINGDIERCISHOUSHU。

                            DIERCISHOUSHUQUCHUKUOZHANGQI,QIEQUZITILEIRUANGUGENJUJIANCEDEERDUODAXIAODIAOKEERZHIJIAJINXINGERKUOZAIZAO,ZHUYUANSHIJIANYUE7TIANZUOYOU,SHUHOU10TIANCHAIXIAN。DIERCISHUHOU6GEYUEKEDUIZAIZAOERJINXINGJINYIBUXIUZHENG,ZHUYUANSHIJIANYUE5TIANZUOYOU,SHUHOU10TIANCHAIXIAN。ZHEIZHONGFANGFADUICANERHOUPIFUMIANJIXIAO、ERHOUPIFUJIN、HOUDEBINGRENXIAOGUOBIJIAOHAO。

                            (3)ZITILEIRUANGUERHOUPIFUKUOZHANGQUANBAOFA(QUANBAOFA);

                            JIUSHIDIAOKEDERUANGUERXINGZHIJIAQUANBUYONGKUOZHANGDEPIFUFUGAIDEFANGFA,SHOUSHUYIBANYAO3CI。DIYICISHOUSHUZAICANERHOURUTUQUPIFUXIAMIANMAIZHIYIGE80mlSHUINANG(JIPIFURUANZUZHIKUOZHANGQI),ZHUYUANSHIJIANYUE5TIANZUOYOU,SHOUSHUHOU7TIANKAISHIZHURUSHENGLIYANSHUI,GETIANZHUSHUIYICI,ZHUSHUIDAO120-160ml,ZHUSHUIJIAYANGPI3-4GEYUE。

                            DIERCISHOUSHUQUCHUKUOZHANGQI,QIEQUZITILEIRUANGUGENJUJIANCEDEERDUODAXIAODIAOKEERZHIJIA,ZHIJIAWANQUANYONGKUOZHANGDEPIFUBAOGUOFUGAI,ZHUYUANSHIJIANYUE7TIANZUOYOU,SHOUSHUHOU10TIANCHAIXIAN。

                            DIERCISHOUSHUHOU4-6GEYUEKEDUIZAIZAOERJINXINGJINYIBUXIUZHENG,ZHUYUANSHIJIAN5TIANZUOYOU。ZHEIZHONGFANGFAYOUYUBUYAOZHIPI、QUPI,YEBUYONGXIANJINMO,SHOUSHUSUNSHANGZUIXIAO,BANHENHENXIAO,DANBUZUDESHIPIFUKUOZHANGZHOUQIBIJIAOZHANG,SHOUSHUNIANLINGYIBANYAO8ZHOUSUIYIHOU,QIEPIFUYAOSONG。

                            JIAZHANGGUANXINDECHANGJIANWENTI

                            1.NAZHONGFANGFAZAOERDUOHAO?WOHAIZIYINGGAIYONGNAZHONGFANGFA?

                          188比分网   DA:DUIYUERKUOZAIZAOFANGFADEXUANZEYUANZESHOUXIANKAOLVBINGRENZISHENDEPIFUTIAOJIAN,ZAIXIAOGUOHAODEJICHUSHANGZAIKAOLVYONGBANHENSHAO、SHENGSHI、SHENGSHIDEFANGFA。

                          188比分网   2.ERZAIZAOSHOUSHUKEYIQUBABAMAMADELEIRUANGUTIDAIHAIZIDEMA?

                            DA:ZUOFUMUDEDOUXINTENGHAIZI,DOUXIANGJIANSHAOHAIZITONGKU,DANSHIZUOLEIRUANGUERZAIZAOSHOUSHU,ZHINENGYONGHAIZIZIJIDERUANGU,SHIZUIKEKAOHEYONGJIUDEFANGFA,BUNENGYONGJIAZHANGDE。

                            3.YONGZITILEIRUANGUZAOERDUONAGENIANLINGZUISHIHE?

                            DA:QIJINBINGRENZISHENLEIRUANGUSHIMUQIANZAIZAOERKUOZUIHAODEZUZHICAILIAO,WEILEDEDAOZUGOUZHANG、KUANHEHOUDUDELEIRUANGU,WAIERKUOZAIZAOZUIZAOYAO6ZHOUSUI(SHENGAO120cm TIZHONG20kg XIONGWEI55cm)CAIKEYISHOUSHU,HAOCHUSHISHANGXIAOXUEQIANNENGWANCHENGSHOUSHU,JIANYIZAI10ZHOUSUIQIANWANCHENGSHOUSHU。

                            4.QULEIRUANGUDUISHENTIHUIYOUYINGXIANGMA?

                            DA:YOUYUZISHENLEIRUANGUSHIBINGRENZIJIDEZUZHI,BUHUIFASHENGPAIYI,ZAIZAODERENERDUONENGGOUBANSUIZHONGSHEN,YINCIYONGZISHENLEIRUANGUZAIZAOERDUORENGRANSHIMUQIANGUONEIGUOWAIZUICHENGSHU、ZUIZHULIUDEJISHU。

                            LEIGUGONG12DUI,ZUOYOUDUICHENG,HOUDUANYUXIONGZHUIXIANGLIAN,1-7LEICHENGZHIWEIZHENLEI,QIANDUANJIELEIRUANGUYUXIONGGUXIANGLIAN。8-12LEICHENGZHIWEIJIALEI,QIZHONG8-10LEIJIELEIRUANGUYUSHANGYILEIDERUANGUXIANGLIAN,DI11-12LEIQIANDUANCHENGYOULIZHUANGTAI,CHENGZHIWEIFULEI。ERZAIZAOSHOUSHUTONGCHANGQUDI7、8LEIJIBUFENDI6LEI。

                          188比分网   LEIRUANGUDEQIEQUHOUZHUYAODUIQIEQUBUWEIDEWAIXINGDAILAIYINGXIANG,DUIJIANGLAIDEZHENGCHANGYUNDONGGONGNENGBUHUIDAILAIYINGXIANG,DABUFENBINGRENWAIXINGDEYINGXIANGSHIQINGWEIDE,GEBIEBINGRENBIJIAOMINGXIAN。

                          188比分网   5.WAIERZAIZAOSHIXUANZELEIRUANGUHAISHIRENGONGCAILIAOHAO?

                            DA:MUQIANBINGMEIYOUZHAODAOBIZITILEIRUANGUGENGYOUDERENGONGCAILIAOZUOWEITIDAI,ZITILEIRUANGUERZAIZAOBUPAIYI,BUXISHOU,SHANGHOUBUYIGANRAN,SUIHUIYOUQULEIRUANGUDECHUANGSHANG,YEZHISHIDUIQIEQUBUWEIDEWAIXINGYOUYIDINGYINGXIANG,RENGONGCAILIAOERZAIZAOSUIMEIYOUFUBUCHUANGSHANG,DANYOU5%DEPAIYIJILV。

                            6.SHENMEJIJIELAIZUOSHOUSHUHAO?

                            DA:RUJINJIJIEDUISHOUSHUYIJINGMEIYOUTAIDAYINGXIANGLE,YOUYUHANSHUQILAISHOUSHUDEHAIZIHENDUO,WOJIANYIJIAZHANGKEYIGENJUZIJIDESHIJIANHELIBIKAIGAOFENGQI。

                            7.SHOUSHUQIANXUYAOZUONAXIEZHUNBEI?

                            DA:ZHUYUANHOUWOMENDEYISHENGHUIANPAININDEHAIZIZUOGEXIANGSHUQIANJIANCHA,BAOKUOXINDIANTU,XIONGPIAN,ZHAOXIANGDENG,MEIYOUSHOUSHUJINJIJIUKEYIANPAISHOUSHULE。SHOUSHUQIANXUYAOJIHAIZITITOU,NANHAIZITONGCHANGTIGEGUANGTOU,NVHAIZIKEYITIQUHUANCEERHOUDAYUE5LIMIDETOUFA;DUIYUYIXIETIMAOBIJIAOZHONGDECHENGNIANREN,ZAIERQISHOUSHUQIANHAIXUYAOTICHUXIONGBUSHOUSHUQUDETIMAO。

                            8.WAIERZAIZAOSHOUSHUXIAOGUORUHE?SHOUSHUYOUFENGXIANMA?

                            DA:RENHESHOUSHUDOUSHIYOUFENGXIANDE,DANSUIZHEWAIERZAIZAOJISHUDECHENGSHU,YINGXIANGSHOUSHUXIAOGUODEBINGFAZHENGYUELAIYUESHAOJIAN。OURANFASHENGDEBINGFAZHENGYEKETONGGUOJISHIZHENGQUEDECHULIDEDAOLIANGHAODEHUIFU。

                            WOMENJINGCHANGYUDAOYIXIEJIAZHANGXUNWENZAIZAODEERDUOSHIFOUHEZHENDEERDUOYIMOYIYANG?ZAIZAODEERDUOSHIYONGZISHENDELEIRUANGUDIAOKECHENGDE,YESHIYOUXUEYOUROUHAIYOUGANJUEDE。WOMENXIANZAIYIJINGNENGGOUZUOCHUHEZHENDEERDUOJIHUYIYANGDEERDUOLAI,DANSHIYOUYUXIANDAIYILIAOJISHUDEJUXIAN,ZAIZAODEWAIERHEZHENDEERDUOZAIZHIDISHANGHAISHIYOUYIDINGDECHAYI。YIGECHENGGONGDEZAIZAOERDUOBUJINCONGCEMIANKANHENBIZHEN,ERQIECONGQIANMIANKANHECONGHOUMIANKANYEHEJIANCEERDUODAXIAOXIANGTONG,GAODIDUICHENG,ERLUJIAOYIZHI。

                          188比分网   9.ERZAIZAOSHOUSHUHUIFUQIYOUNAXIEZHUYIDESHIXIANG?

                          188比分网   DA:①、GANGZAOCHULAIDEERDUODOUSHIZHONGDE,KANSHANGQUERDUODELUNKUOHAIBUTAIQINGXI,ERDUOYEPIANHOU,PIFUYANSEYEPIANSHEN。TONGCHANGYAO3-6GEYUEDEHUIFUGUOCHENG,ZAIZAOERLUNKUOMANMANBIANDEQINGXI、BIANBO。

                            ②、JIANYISHOUSHUHOU2-3GEYUELAIYIYUANFUZHEN,BINGQINGXIZAIZAOER。TUOJIAGUOCHENGZHONGGEBIEBINGRENKENENGHUIYOUGUOZAIJIALIDEXIANTOUCANLIU,QUYIYUANCHAIDIAOJIUKEYILE,BUYONGJINZHANG,SHENZHIGEBIEBINGRENFENGZAIPIFUXIAMIANDEXIANTOUHUIBEIRENTIPAIYICHULAI,DENGXIANTOUYOUBUFENCHULAIHOUJINKUAIQUYIYUANCHAIDIAOJIUKEYILE。

                            ③、ERDUOZAOWANHOUDETOU2-3GEYUEBUYAOYA,ZAOQIGUODUSHOUYAHUIDAOZHIZAIZAOERBIANXING,3GEYUEYIHOUYAYIBANMEIYOUWENTI,DANZHENTOUZUIHAOYONGRUANYIDIAN。ZAIZAOERSHANGMIANDEJIAJIBENTUOGANJINGHOU,YAOQIUMEIZHOUYONGMIANQIANDUIZAIZAOERAOTUBUWEIZIXIQINGROUQINGXI,BAOCHIJUBUDEQINGJIEWEISHENG。YOUYUZAIZAODEERDUOPIANYING,BIMIANBAOLIZHUANGJI,RUGUOSHOUSHANGYIDINGYAOYUSHOUSHUYISHENGLIANXI,RUGUOPIFUYOUPOKOULEYIDINGYAOZAI4-6XIAOSHINEIDAOYIYUANQINGCHUANGFENGHE。

                            10.ZITILEIRUANGUZAOERHUIBUHUIBEIXISHOU?

                            DA:ZITILEIRUANGUZAOERBUHUIBEIXISHOU,YEBUHUIPAIYI,DANYAOTEBIEZHUYIFANGZHIDONGSHANG,PIFUDONGSHANGJIUHUIYINGXIANGDAORUANGU。

                            11.DANCEERDUOMEIYOUTINGLI,XUYAOPEIDAIZHUTINGQIMA?

                            答:对于单侧小耳畸形并伴外耳道闭锁者,因患者有一侧正常的耳朵,所以听力不受太大的影响,可先行耳廓再造术,以后再根据需要决定是否进行中耳手术。对于双侧小耳畸形188比分网并伴外耳道闭锁的患者,由于重度听力障碍,一定要治疗,治疗方案可以根据中耳畸形的情况选择耳道中耳手术或听觉植入手术。

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