中国听力语言康复科学杂志2024，Vol.22Issue(4)：366-368,374,4.DOI:10.3969/j.issn.1672-4933.2024.04.008
新冠病毒感染临床痊愈后人工耳蜗植入手术局部皮瓣炎性反应的变化
Changes in Local Flap Inflammatory Reactions of Cochlear Implantation after Clinical Recovery of SARS-CoV-2 Infection
摘要
Abstract
Objective To explore the correlation between SARS-CoV-2 infection and local flap infection in cochlear implantation surgery,so as to understand the impact of novel coronavirus infection on cochlear implantation surgery.Methods A retrospective analysis of 163 patients(divided into children and adults)who underwent cochlear implant surgery in our hospital from May 2020 to March 2023.Compare the differences between the study group(patients who have been infected with SARS-CoV-2)and the control group(uninfected patients)with local flap infection after cochlear implantation.The groups:(1)For Children's group of 1-18 years old,there were 44 in the study group and 64 in the control group.(2)Adult group:18-67 years old,including 31 in the research group and 24 in the control group.Results There were 10 people with flap infection in the study group,with a incidence of 13.33%(10/75);while there were only 2 people in the control group,with a incidence of 2.27%(2/88).There is a significant difference between the two groups(P=0.017＜0.05).After stratification by age,6 people with skin flap infection occurred in the children's research group,with a incidence of 13.64%(6/44);only 1 person with flap infection in the control group had 1.56%(1/64);therefore,there was a significant difference between the study group and the control group in children(P=0.035＜0.05).In adults,4 people in the study group had skin flap infection and 1 person in the control group;there was no significant difference between the two groups(P=0.519＞0.05).The degree of skin flap infection and the time of infection were analyzed.1.In the study group,4 children were generally infected in the early stage,with an infection rate of 9.09%(4/44);2 people with long-term severe infection,with an infection rate of 4.55%(2/44).Only one person in the child control group had an early general infection,with an infection rate of 1.56%(1/64);there was no early and long-term serious infection.2.The adult research group generally infected 3 people in the early stage,with an incidence rate of 9.67%(3/31);1 person with a long-term severe infection,with an incidence rate of 3.23%(1/31).There was only one case of early general infection in the adult control group,with a incidence rate of 4.17%(1/24);there was no early and long-term severe infection.There was no significant difference between the research group and the control group,and between different age groups in the time of infection and the degree of flap infection(P＞0.05).Conclusion SARS-CoV-2 infection increases the risk of local flap infection after cochlear implantation surgery;and the risk is relatively higher in children.关键词
新型冠状病毒感染/人工耳蜗植入手术/局部皮瓣感染/植入体取出Key words
SARS-CoV-2 infection/Cochlear implant surgery/Local skin flap infection/Implant removal分类
医药卫生引用本文复制引用
刘勇智,赵媛媛,贾鑫,温家康..新冠病毒感染临床痊愈后人工耳蜗植入手术局部皮瓣炎性反应的变化[J].中国听力语言康复科学杂志,2024,22(4):366-368,374,4.基金项目
内蒙古自治区卫生健康科技计划项目(202201062) （202201062）
