摘要
目的:探究耳内镜下鼓室成形术后鼓膜穿孔再修补的临床疗效。方法:选取2018年11月-2020年11月广饶县人民医院收治的60例鼓膜大穿孔患者作为研究对象。患者均在耳内镜下进行鼓室成形术后鼓膜穿孔再修补术治疗,小穿孔患者应用耳垂脂肪压片进行修补,中穿孔患者应用耳屏软骨膜进行修补。观察患者术后鼓膜愈合情况及听力检查情况。结果:所有患者中,1次修补术愈合良好48例,占比80%,2次修补术愈合良好12例,占比20%;小穿孔患者中,1次修补术愈合良好31例,占比91.2%,2次修补术愈合良好3例,占比8.8%;中穿孔患者中,1次修补术愈合良好17例,占比65.4%,2次修补术愈合良好9例,占比34.6%。手术后,小穿孔及中穿孔患者的气道听阈、骨导听阈及骨气导差值均低于术前,差异有统计学意义(P<0.05)。结论:耳内镜下鼓室成形术后鼓膜穿孔再修补的临床疗效显著,术后患者听力恢复情况较好,且安全性较高,费用较低,值得临床推广应用。
Objective: To explore the clinical efficacy of re-repairing tympanum membrane perforation after ear endoscopic tympanoplasty. Methods: From November 2018 to November 2020, 60 patients with large tympanic membrane perforation treated in Guangrao County People's Hospital were selected as the study subjects. All patients underwent re-repair of tympanum membrane perforation after ear endoscopic tympanoplasty. Patients with small perforation were repaired with earlobe fat pressing patch, and patients with medium perforation were repaired with tragus perichondrium. The postoperative tympanic membrane healing and hearing examination of the patients were observed. Results: Among all the patients, 48 cases healed well with one repair, accounting for 80%, and 12 cases healed well with second repair, accounting for 20%;among the patients with small perforation, 31 cases healed well with one repair, accounting for 91.2%, and 3 cases healed well with second repair, accounting for 8.8%;among the patients with medium perforation, 17 cases healed well with one repair, accounting for 65.4%, and 9 cases healed well with second repair, accounting for 34.6%. After operation, the airway hearing threshold, bone conduction hearing threshold and bone airway conductance difference of patients with small perforation and medium perforation were lower than those before operation, and the difference was statistically significant (P<0.05). Conclusion: The clinical efficacy of tympanic membrane perforation re-repair after endoscopic tympanoplasty is significant, and the postoperative hearing recovery of patients is better, with higher safety and lower cost, which is worthy of clinical application.
作者
吴倩倩
谷丹丹
高宁
Wu Qian-qian;Gu Dan-dan;Gao Ning(Guangrao County People's Hospital1,Dongying 257300,Shandong Province,China;Dongying District People's Hospital,Dongying 257000,Shandong Province,China)
出处
《中国社区医师》
2022年第24期54-56,共3页
Chinese Community Doctors
关键词
耳内镜
鼓室成形术
鼓膜穿孔
再修补
Endotoscope
Tympanoplasty
Perforation of tympanic membrane
Re-repair
