耳屏软骨-软骨膜在鼓室成形术中的应用  

Application of Tragus Cartilage-perichondrium in Tympanoplasty

作　　者：张文[1] 王宏俊 贾艳萍[1] 

机构地区：[1]陕西省人民医院耳鼻咽喉科,西安710068 [2]西安市东郊第二职工医院耳鼻咽喉科

出　　处：《听力学及言语疾病杂志》2007年第5期377-378,共2页Journal of Audiology and Speech Pathology

基　　金：西安市科技计划基金资助项目(编号GG06190)

摘　　要：目的探讨用耳屏软骨-软骨膜行鼓室成形术的疗效。方法对52例(52耳)鼓膜穿孔患者用自体耳屏软骨-软骨膜复合体重建鼓膜,并根据听骨链是否完整及鼓膜是否残存而采取了不同的术式,并于1年后复查纯音听阈,对结果进行分析。结果52耳手术后一个月鼓膜穿孔均愈合。术后随访1～3年,除3耳鼓膜再穿孔外,余均愈合,纯音测听示术后较术前气骨导差平均缩小16dB。结论耳屏软骨-软骨膜复合体是修复鼓膜大穿孔的理想材料,其远期愈合率高,听力恢复满意,效果稳定。Objective To investigate the efficacy of the application of tragus cartilage- perichondrium in tympanoplasty. Methods The tympanic perforation and ossicular chains reconstruction surgery utilized the tragus cartilage- perichondrium composite autograft in 52 patients with otitis media. Results The tympanic perforation closure was achieved in all 52 patients undergoing cartilage- perichondrium composite reconstruction. Recurrent perforation was found in 3 patieats during the period of 1- 3 year. The average air- bone gaps（ABG） reduced by 16 dB. Conclusion The efficacy results favorably indicate that the tragus cartilage- perichondrium composite is an appropriate material for repairing large tympanic perforation.

关 键 词：软骨-软骨膜 鼓室成形术 修补 

分 类 号：R764.92[医药卫生—耳鼻咽喉科]