摘要
目的探讨嵌入法鼓膜成形术的临床应用。方法选择2002年3月~2009年12月就诊于我科的中央型中小鼓膜穿孔患者107例111耳,分为3个手术组：嵌入法脂肪鼓膜成形术组（脂肪组）42例44耳,嵌入法蝶形软骨鼓膜成形术组（软骨组）32例32耳,内植法软骨膜鼓膜成形术组（对照组）33例35耳。手术均在耳内镜下进行。结果术后6个月随访,3组的愈合率分别为90.9%、93.8%、91.4%,无统计学差异（P〉0.05）;听力复查示平均气导提高〉10dB及平均气骨导差〈10dB的发生率亦无统计学差异（P〉0.05）。对已愈合患者随访12~38个月,脂肪组及软骨组无鼓膜再穿孔,对照组再穿孔2耳。结论耳内镜下嵌入法脂肪鼓膜成形术及嵌入法蝶形软骨鼓膜成形术是简单、成功率高的微创技术。
Objective To evaluate the application of the inlay graft technique in myringoplasty.Methods 107 patients（111 ears） with dry central moderate or small drum perforations enrolled from March 2002 to December 2009 were divided into 3 groups for myringoplasty： 42 patients（44 ears） in the fat plug myringoplasty group,32 patients（32 ears） in the inlay butterfly cartilage tympanoplasty group,and 33 patients（35 ears） in the underlay tympanoplasty group（control group）.All the patients were treated by transmeatal approach under an oto-endoscope.Results After a mean follow-up of 6 months,the graft acceptance rate in these three groups was 90.9%,93.8%,and 91.4%,respectively.There was no significant difference among the three graft acceptance rates（P0.05）.There were also no significant differences in the mean air-conduct threshold（more than 10 dB） and the mean air-bone gap（more than 10 dB） in these three groups（P0.05）.For healed tympanic membranes,no recurrent defects were observed both in the fat plug myringoplasty group and the inlay butterfly cartilage tympanoplasty group,but 2 recurrent defects happened in the control group after 12-38 months follow-up.Conclusion Fat plug myringoplasty and inlay butterfly cartilage myringoplasty,using an oto-endoscope,are reliable and minimally invasive technique for treatment of moderate or small size perforation with high success rates.
出处
《山东大学耳鼻喉眼学报》
CAS
2011年第4期20-23,共4页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
手术
耳
鼓膜成形术
Surgery
Ear
Myringoplasty
