外耳道后壁重建和鼓室成型在开放式乳突术后感染中的临床应用  

The clinical application of canal wall reconstruction and tympanic molding in the open mastoid of postoperative infection

作　　者：朱水英[1] 官树雄[1] 唐小艳[1] 王金[1] 周仲伟[1] 

机构地区：[1]广东省东莞市厚街医院眼耳鼻喉科,广东东莞523945

出　　处：《中国当代医药》2013年第12期196-196,F0003,共2页China Modern Medicine

摘　　要：目的观察在开放式乳突术后感染中外耳道后壁重建和鼓室成型的临床效果。方法选取2010年2月～2012年1月于本院进行开放式乳突术治疗的40例中耳乳突病变患者为研究对象．进行外耳道后壁重建和鼓室成型治疗，观察其治疗效果。结果随访观察,40例患者鼓膜修补全部1期愈合。术后重建外耳道后壁皮瓣在肌骨膜瓣的结合非常好，既厚又结实，也没有出现胆脂瘤复发。大部分患者听力明显提高。骨气导差也改善。听力复查时，发现提高25—35dB的有28例（70％），5～15dB的有10例（25％），没有改变的有2例（5％）。结论在开放式乳突术后感染中，经外耳道后壁重建和鼓室形成术的治疗，明显提高了听力，是一种有效的治疗方法。Objective To observe the clinical effect of canal wall reconstruction and tympanic molding in the open mastoid of postoperative infection. Methods Forty cases of middle ear and mastoid lesions with open mastoid surgery treatment in our hospital from February 2010 to January 2012 were chosen as the research object. They were taken with the canal wall reconstruction and the tympanum forming treatment, and the clinical effect was observed. Results Follow-up study showed that 40 patients with tympanic membrane repair all healed in I period. Postoperative combination of muscle periosteal flap reconstruction of the canal wall flap was very good, both thick and sturdy and without cholesteatoma recurrence. The hearing for the majority of patients was significantly improved, and poor-bone was also improved. The hearing review found that 28 cases with the increase of 25-35 dB （70%）, 5-15 dB of 10 eases （25%） and 2 patients （5%） without difference. Conclusion In the open mastoid infection after the treatment of canal wall reconstruction and tympanic revascularization, hearing is significantly improved, and it is an effective treatment method.

关 键 词：外耳道后壁重建 鼓室成型 开放式乳突术 临床应用 

分 类 号：R764.1[医药卫生—耳鼻咽喉科]