耳廓化脓性软骨膜炎的治疗是否得当,对能否获得满意的疗效是十分重要的。若处理不当,轻则病程迁延,旷废时日;重则造成耳廓畸形,影响美容,破坏耳廓的生理功能。我院自1975年至1981年收住院治疗5例,现报告如下。一般材料5例中年龄最小的30岁,最大的57岁。病因:外伤2人,疖肿感染1人,手术感染2人。其中4例作了脓培养和药物敏感试验,结果:绿脓杆菌(+)2例,大肠杆菌(+)1例,不能肯定的1例。经清创手术治疗,治愈时间最短的19天,最长达55天。造成缺损畸形2例,占清创手术人数的40%。治疗的具体方法对5例化脓性软骨膜炎患者均施行切开清创术。一、手术适应证的选择:(一)感染范围大,有明显的扩散蔓延,继续向四周组织浸润者;(二)有明显的软骨膜、软骨受累,曾作过一般外科切开引流,化脓感染仍未得到控制者;(三)耳廓两面对称性化脓感染者。二、手术前准备:术前应作好脓培养和药物敏感试验,选择好敏感抗菌素。准备好一块较大的橡皮引流条。三、手术方法: Auricle peritonitis peritonitis treatment is appropriate, whether or not to obtain satisfactory results is very important. If not handled properly, ranging from persistent disease, Kuang waste time; heavy cause auricle deformity, affecting the beauty, destruction of the physiological function of the pinnaus. Our hospital from 1975 to 1981 admitted to hospital for treatment of 5 cases, are as follows. General materials 5 cases, the youngest 30 years old, the largest 57 years old. Etiology: trauma 2, swollen infection 1, surgical infection 2. Four of them were tested for pus culture and drug susceptibility. Results: 2 cases of Pseudomonas aeruginosa (+), 1 case of Escherichia coli (+), 1 case not sure. After debridement surgery, the shortest healing time of 19 days, up to 55 days. 2 cases of defect caused by deformity, accounting for 40% of the number of debridement surgery. Specific treatment of 5 cases of patients with purulent perichondritis were performed debridement debridement. First, the choice of indications for surgery: (A) a wide range of infections, there was a clear spread of spread, continue to infiltrate the surrounding tissue; (B) a clear perichondrium, cartilage involvement, had a general surgical incision and drainage, purulent Infection has not been controlled; (three) ear both sides of symmetry purulent infection. Second, preoperative preparation: preoperative pus culture should be made and drug sensitivity tests, choose a good sense of antibiotics. Prepare a larger rubber drainage rod. Third, surgical methods: