唇腭裂与中耳功能障碍相关性及治疗决策探讨  

Study On The Relationship Between Cleft Lip And/Or Palate And Middle Ear Disfunction And Discuss The Treatment.

作　　者：李菊兰[1] 梁传余[1] 蔡华城[2] 余顺先[2] 

机构地区：[1]四川大学华西医院,四川成都610041 [2]四川武警总队医院,四川乐山614000

出　　处：《四川医学》2005年第11期1212-1214,共3页Sichuan Medical Journal

摘　　要：目的通过对先天性唇腭裂患者的听力检查以及相关治疗,探讨其与中耳功能障碍的相关性及治疗决策。方法对213例426耳先天性唇腭裂住院患者以及对照组80例160耳进行纯音测听以及声导纳测试,对于中耳功能障碍者在进行腭裂修复术时行鼓膜穿刺,有液体者随机进行鼓膜置管。所有患者随访1年,进行中耳功能测试。结果腭裂患者中耳功能障碍发病率比对照组高,有统计学意义;完全腭裂与不完全腭裂的中耳功能障碍发病率无统计学差异。伴发唇裂的腭裂患者中耳功能障碍的发生率与单纯腭裂患者差别无统计学意义;鼓膜置管组患者中耳功能障碍的复发率远低于未置管组;未置管者腭裂修复术后自身对比中耳功能障碍发生率明显降低。结论腭裂的发生与中耳功能障碍相关,与腭裂的分型无关,与唇裂的伴发无关;术中行鼓膜置管是伴发分泌性中耳炎的腭裂患者有效可行的治疗方法,腭裂手术本身能改善中耳功能障碍。Objective To study the relationship between eleftlip and/or palate and middle ear disfunetion and discuss the treatment through audiologie test and medical treatment. Methods 213 cleft lip and/or palate patients（426 ears）and 80 normal person （ 160 ears） were tested by pure tone and admittance. Middle ear disfunetioned patients underwent auripunetura during palatoplasty and eheilorrhaphy. Tube insertion were done on the patient with effusion in middle ear randomly. Results The incidence of middle ear disfunetion on the cleft palates was much higher than control group ,with statistics significance. And that of complete cleft palate had no statistics difference with uneomplete cleft palate. Companied with cleft lip or not, the incidence of middle ear disfunetion on cleft palates had no stastics difference. Tube insertion group had lower inidenee of middle ear disfunction than no tube group. Compared with pre-surgery, the incidence was lower in post-sugery. Conclusion Middle ear disfunetion was ralated with cleft palate, had no correlation with the type of cleft palate and the company with eleflt lip . Tube insertion during palatoplasty was an effective method to cleft palates with otitis media with effusion. The palatoplasty could ameliorate middle ear disfunetion.

关 键 词：唇腭裂 中耳功能障碍 中耳炎 鼓膜置管 

分 类 号：R782.2[医药卫生—口腔医学] R764[医药卫生—临床医学]