耳内镜下同种异体羊膜鼓膜修补术的疗效观察  

Observation of the efficacy of endoscopic myringoplasty with homoplastic amniotic membrane

作　　者：刘志[1] 王汝娜[2] 高鹏飞[1] 孙永柱[1] 吴文丽[1] 仲莉梅[1] 

机构地区：[1]第四军医大学唐都医院耳鼻咽喉-头颈外科,西安710038 [2]第四军医大学唐都医院骨科

出　　处：《临床耳鼻咽喉头颈外科杂志》2012年第19期882-884,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨耳内镜下同种异体羊膜鼓膜修补术的临床疗效。方法:回顾性分析在第四军医大学唐都医院行耳内镜下同种异体羊膜鼓膜修补术患者43例(43耳)的临床资料,观察鼓膜穿孔的愈合情况及听力改善情况。结果:43耳中有41耳鼓膜完全愈合,穿孔愈合率95.3%。复查纯音测听,语言频率气导平均听阈较术前提高10dB。随访1～4年,未见再穿孔及其他并发症发生。结论:耳内镜下鼓膜修补术适用于言语频率听阈在40dB以内的单纯鼓膜修补,不仅能修补紧张部中央性穿孔,而且对大部分有残余鼓膜的边缘性穿孔也可修补。人羊膜是鼓膜修补的理想材料。Objective：To explore the clinical effectiveness of endoscopic myringoplasty with homoplastic amniotic membrane. Method： A retrospective study in 43 patients underwent endoscopic myringoplasty with homoplastic amniotic membrane was observed at the wound healing of tympanic membrane perforation and the hearing improvement after surgery. Result：The tympanic membrane＇s perforation healing rate was 95.3 %（41/43）, and air conduction threshold audiometry in language frequency improved average 10 dB. The follow up was 1--4 years, and no recurrence or complications had occurred. Conclusion： The endoscopic myringoplasty could be able to simple myringoplasty whose air conduction threshold audiometry in language frequency was less than 40 dB. It could be used to repair not only the central perforation in tympanic membrane, but also the marginal perforation which has residual tympanic membrane in most of the regional. Human amniotic membrane is an ideal materials for repair of tympanic membrane.

关 键 词：鼓膜修补术 耳内镜 同种异体 羊膜 

分 类 号：R764[医药卫生—耳鼻咽喉科]