耳甲腔成形及耳后带蒂肌骨膜瓣乳突填塞对80例实施开放式乳突根治术患者的疗效分析  

Analysis Ear Cavity Forming and Ear Mastoid Periosteal Flap Pedicled Muscle Tamponade in 80 Cases Implementation of the Open Efficacy in Patients with Mastoidectomy

作　　者：王海瑞 赵俊亭 刘伟杰 许波 

机构地区：[1]山东省滨州市阳信县人民医院耳鼻喉科,山东滨州251800

出　　处：《中国医药指南》2013年第29期428-429,共2页Guide of China Medicine

摘　　要：目的探讨开放式乳突根治术在耳甲腔成形基础上乳突填塞的疗效。方法选取在2005年2月至2011年10月间在我院的162例(162耳)患者,实验组80例采用开放性乳突根治术+耳甲腔成形及耳后带蒂肌骨膜瓣乳突填塞,对照组82例采用开放性乳突根治术+耳甲腔成形术,术后随访0.5～2年。结果实验组干耳率92.50%明显高于对照组79.27%,差异有统计学意义(χ2=5.820,P=0.016)。实验组术后复发感染率1.25%低于对照组8.54%,差异有统计学意义(χ2=4.580,P=0.032)。结论在开放式乳突根治术及耳甲腔成形同时,行肌骨膜瓣乳突填塞,不但能扩大外耳道口、缩小根治腔,还能使其与原来的外耳道解剖与功能极为相似,既美观又便于观察。此外,它还促进上皮化及通气引流,提高术后干耳率,从而提高根治术的疗效。Objective Explore the open mastoid surgery in the ear cavity formed mastoidectomy obliteration on the basis of efficacy. Methods Select from February 2005 to October 2011 in our hospital 162 patients （162 ears） in the experimental group 80 cases of open mastoid radical mastectomy ＋ ear cavity forming ear muscle pedicle periosteal flap mastoid tamponade, control group 82 cases of open mastoid radical mastectomy ＋ ear cavity angioplasty, patients were followed up for 0.5 to 2 years. Results Dry ear rate ＆the experimental group （92.50%） was significantly higher than that in the control group （79.27%）, the difference was statistically significant 0f2=5.820,P=0.016）. The recurrence and infection rate of the experimental group （1.25%） was lower than the control group （8.54%）, the difference was statistically significant （;（2=4.580,P=0.032）. Conclusion Open mastoid surgery and ear cavity forming at the same time, muscle periosteal flap mastoid tamponade, not only to expand the external ear canal, reducing the radical cavity, but also to make it with the original external auditory canal anatomy, and function are very similar, both beautiful and easy to observation. It also promotes epithelial ventilation and drainage, postoperative dry ear rate, thereby enhancing the efficacy of radical surgery.

关 键 词：乳突根治术 耳甲腔成形术 乳突填塞 耳后带蒂肌骨膜瓣 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]