外伤性鼓膜穿孔265例  

Perforation of the tympanic membrane in 256 cases

作　　者：吴柳青[1] 刘红琪[1] 唐向荣[1] 梁志成[1] 

机构地区：[1]柳州医学高等专科学校第一附属医院耳鼻咽喉科,广西柳州545002

出　　处：《山东大学耳鼻喉眼学报》2007年第4期362-363,367,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的：分析外伤性鼓膜穿孔的临床特点,探讨影响病情恢复的相关因素,为伤情的评估和治疗提供指导。方法：结合文献复习,对1996～2006年我科诊治的具有完整临床资料的265例外伤性鼓膜穿孔进行回顾性分析。结果：间接损伤多于直接损伤。间接损伤穿孔多位于紧张部,共239例。以传导性聋为主,共246例。有合并症者28例。经治疗,244例痊愈,其余遗留有不同程度的永久性聋和耳鸣等症状。结论：各种外伤所致鼓膜穿孔的同时,还可损伤中耳、内耳,甚至脑组织。患者受伤的程度、伤后是否及时就诊、是否进行全面早期的综合治疗、伤前患耳及全身基础状况与病情恢复及预后有密切的关系。Objective： To explore the clinical features of perforation of the tympanic membrane and to discuss factors relating to patient condition. Method： The clinical data of 265 cases in hospital from 1996 to 2006 were retrospectively analyzed. Results： Indirect damages were more than direct damages and they were mainly located in the intense position in 239 cases. 246 cases had conductive deafness and 28 had complications of vertigo, facial paralysis of concussion of the brain. After treatment, 244 cases were cured and others had permanent deafness and other symptoms. Conclusion： Each kind of flesh wound may cause not only perforation of the tympanic membrane, but also damage to the middle ear, the internal ear and even the brain. The degree, promptness and comprehensive treatment, condition of ear trouble and the whole body are all closely related to restoration and prognosis.

关 键 词：创伤和损伤 鼓膜穿孔 病因学 

分 类 号：R764.29[医药卫生—耳鼻咽喉科]