囊内划痕综合治疗耳郭假性囊肿96例临床分析

目的 探讨囊内划痕综合治疗耳郭假性囊肿的方法和疗效。方法 对96例耳郭假性囊肿（其中23例为在外院进行过其他治疗的复发者）采用囊内划痕、穿刺抽液、曲安奈德注射液囊内冲洗加石膏固定方法进行治疗。结果 随访6～12个月，94例疗效满意，术后无复发、感染及耳郭畸形。2例分别于术后2周和3周复发，行2次囊内划痕处理后治愈。结论 囊内划痕综合治疗法创伤小，充分囊内划痕可以达到对囊内壁的确切破坏，长时间减少囊液渗出；同时使囊肿前后壁紧贴，囊内壁划痕创伤处黏连愈合。

Analysis of intra-capsular scratch method in treating 96 patients with pseudocyst of the auricle

Objective To discuss the methodology and effect of intra-capsular scratching in treating pseudocyst of the auricle. Methods 96 patients with pseudocyst of the auricle (23 of them suffered relapses after being treated with different methods in other hospitals) underwent intracapsular scratching, tapping, triamcinolone injection and washing as well as plaster casting. Results After 6 to 12 months following-up, a satisfactory curative effect was obtained and no relapse, infection or ear deformity was found in 94 patients. 2 patients suffered a relapse 2 weeks and 3 weeks after the treatment respectively, and were cured after a second intracapsular scratching. Conclusions The intracapsular scratching method has less trauma, and full intracapsular scratching can destroy the in wall, decrease the effusion, and ensure adhesions between the inner walls.