自体及同种异体听小骨、鼻中隔软骨移植在鼓室成形术中的应用  

The use of autogeneic residual auditory ossicles,allogeneic auditory ossicles and the allogeneic nasoseptal cartilage in tympanoplasty

作　　者：林菊荣[1] 林智勇[1] 王英[1] 

机构地区：[1]三明市第一医院耳鼻咽喉科,福建三明365000

出　　处：《临床耳鼻咽喉科杂志》1999年第1期16-17,共2页Journal of Clinical Otorhinolaryngology

摘　　要：为了解重建中耳传音结构多种材料在鼓室成形术中的治疗效果，寻求较理想的重建中耳传音结构的材料。方法：分析１９８６年５月份以前的鼓室成形术中采用自体残存听小骨改形植入１５３耳及同种异体听小骨植入１１９耳和同种异体鼻中隔软骨植入９３耳，并对其在术后的近期及远期疗效进行追踪比较。结果：１０年后自体残存听小骨改形植入行鼓室成形术有效率达８６．３％，高于同期随访的同种异体听小骨植入（有效率７６．５％）及同种异体鼻中隔软骨移植（有效率７７．４４％）。结论：自体残存听小骨改形植入以其取材方便、无排异作用、远期疗效好而优于其他重建材料。In search of ideal substance (s) for middle ear reconstruction, various materials wereused and investigated in tympanoplasty. Method:Up to may 1996,three kinds of materials were be used to reconstruct the ossicular chain: Auto-ossicular residue reposition, 153 ears ; Homo-ossicle transplantation, 119ears ; Homo-chondroseptum trans plantation, 9 3 ears. We a nalysed and compared the middle and long term results in these three groups. Result: In auto-ossicular residue reposition group, 86. 3% was satisfied 10 yearspostoperation ;The satisfaction rate was 76. 5% in homo-ossicle transplantation group;and In the group ofhomo-chondroseptum graft, 77. 4% of satisfaction rate was reached. Conclusion:Auto-ossicular residue repositionis a better choice fo f ossicular chain reconstruction. That is responsible for its convenient,free of rejection,andbetter long term results.

关 键 词：中耳炎 鼓室成形术 同种异体 软骨移植 自体移植 

分 类 号：R764.92[医药卫生—耳鼻咽喉科] R764.210.5[医药卫生—临床医学]