生物陶瓷及钛金属人工听骨在鼓室成形术中的短期临床疗效分析  

Analysis of short-term clinical effect of bioceramic and titanium ossicular prostheses in tympanoplasty

作　　者：张官萍[1] 巫爱霞[2] 李永奇[1] 韩正理[1] 崔涛 

机构地区：[1]广州中山大学附属第三医院耳鼻咽喉头颈外科 [2]广州中山大学第一附属医院耳鼻咽喉头颈外科 [3]Speech Language Pathology and Audiology,Northeastern University,02115 Boston,USA

出　　处：《中华耳科学杂志》2007年第2期136-140,共5页Chinese Journal of Otology

基　　金：广东省科技计划项目基金(2003C30203)

摘　　要：目的比较生物陶瓷及钛金属两种不同材料人工听骨赝复物在听力重建鼓室成形术后的并发症发生率、术后听力改善状况。方法对1999年—2004年间68例行听骨链重建鼓室成形术病人进行回顾性研究,根据听骨链重建使用人工听骨的种类分为生物陶瓷组及金属钛组,分别按三种不同术式——开放乳突根治鼓室成形术(CWD)、联合进路鼓室成形术(CWU)、不伴乳突切开鼓室成形术(NM),以及两种不同听骨赝复物——全听骨置换(PORP)、部分听骨置换(TORP)分类,进行短期并发症发生率、术后听力改善情况的对比分析。结果按不同的手术方式分类,两组术后ABG结果在统计学上均无显著差异。根据不同型号的人工听骨植入,两组无论哪种人工听骨植入方式,术前、后ABG差值没有组间差别。两组术前、后ABG差在组间没有统计学差异。生物陶瓷组和钛金属组两组的并发症发生率无统计学差异。结论两种人工听骨材料对术后听力的影响及并发症发生率并无显著差异,提示在人工听骨的选择上更应从经济因素、可操作性上考虑。Objective Compare and analyze the hearing results and complications of bioceramic and titanium ossicular protheses in tympanoplasty. Methods A retrospective review was performed on 68 patients who underwent ossiculoplasty from 1999 to 2004. Patients＇ hearing results and complication rates were evaluated based on different method of ossiculoplasty and management of mastoid. Results There was no significant difference in hearing results between the bioceramic and titanium ossicular protheses in regard to the management of mastoid lesion, the methods of ossiculoplasty. Conclusion No significant differences were found in hearing results and complication rates between the two prostheses, suggesting factors such as price and easily-mastered techniques are more preferably concerned with.

关 键 词：生物陶瓷 钛金属 人工听骨 鼓室成形术 气骨导差距 

分 类 号：R764.92[医药卫生—耳鼻咽喉科] R318.18[医药卫生—临床医学]