鼓膜外伤性穿孔缘翻折鼓膜的识别及干预  

Identification and treatment of the edge of tympanic membrane crimp in tympanic membrane perforation

作　　者：楼正才[1] 胡云星 吴小洪[1] 陈华英[1] 

机构地区：[1]浙江省义乌市中心医院耳鼻咽喉科,322000 [2]浙江省义乌市公安局,322000

出　　处：《实用医学杂志》2010年第16期2963-2964,共2页The Journal of Practical Medicine

基　　金：2009年浙江省科技计划一般项目(编号:2009C33097)

摘　　要：目的:探讨鼓膜外伤性穿孔缘翻折鼓膜的识别及干预。方法:对64例鼓膜外伤性穿孔缘鼓膜翻折患者临床资料进行回顾性分析。结果:64例中,48例穿孔缘鼓膜外翻,穿孔形态呈三角形、扇形、及椭圆形。15例穿孔缘鼓膜内卷,呈肾形穿孔。64例耳内镜下见鼓膜翻折处穿孔缘光滑,其中,52例用显微吸引头全部修复,12例经显微钩针仅修复鼓膜瓣面积的1/3～1/4。结论:鼓膜外伤性穿孔患者早期内镜下穿孔缘光滑应考虑存在翻折鼓膜。此时,应尽早采用内镜下显微吸引头小负压吸引修复。Objective To investigate the identification and treatment of the edge of tympanic membrane crimp in tympanic membrane perforation. Method Clinical data of 64 patients with tympanic membrane perforation were analyzed retrospectively. Result The morphological characteristics of membrane perforation were triangle, sector, reniform, and ellipse separately. Among them, the edge of tympanic membrane was smooth. 52 cases were repaired by micropipet, the area of 1/3 to 1/4 in 12 cases were repaired by micro-hooked needle. Conclusion The smooth edge of tympanic membrane indicates tympanic membrane crimp in tympanic membrane perforation, the crimp membrane could be repaired completely by micropipet and endoscope.

关 键 词：鼓膜穿孔 修复 治疗 

分 类 号：R764[医药卫生—耳鼻咽喉科]