双软组织血管瓣填塞乳突术腔的临床研究  

Application of double vascularized soft tissue flap in open radical mastoidectomy

作　　者：李少华[1] 孙一帆[1] 卢标清[1] 

机构地区：[1]中山市中医院耳鼻喉科,广东中山528400

出　　处：《山东大学耳鼻喉眼学报》2014年第1期6-7,13,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：中山市科技局项目(20102A062)

摘　　要：目的探讨耳后双软组织血管瓣乳突术腔填塞应用于开放式乳突根治术的临床疗效和意义。方法胆脂瘤中耳乳突炎患者98例(98耳),在施行开放式乳突根治术基础上,治疗组52例(52耳)应用耳后双软组织血管瓣填塞乳突腔;对照组46例(46耳)应用带血管蒂的颞肌筋膜瓣填塞乳突术腔。结果治疗组与对照组的干耳时间分别为(17.07±1.28)d和(22.96±6.21)d,治疗组干耳时间明显短于对照组,差异有统计学意义(P<0.05)。结论耳后区双软组织血管瓣乳突术腔填塞术应用于开放式乳突根治术,有以下优点:①面积更宽广,可最大限度地覆盖术腔骨面;②可加快术腔上皮化,缩短术后干耳时间;③术后基本无需乳突术腔清理。Objective To investigate the clinical application of double vascularized soft tissue flap in open radical mas- toidectomy. Method From July 2009 to June 2012, 98 otitis media patients （98ears） with cholesteatoma were treated with open radical mastoidectomy. In 52 cases （52 ears）, double vascularized soft tissue flap was tamped into mastoid cavity, while pedicled temporalis myofascial flap was applied in the other 46 cases （46 ears）, as control. Result The time to achieve a dry ear in treatment and control group were （ 17.07 ± 1.28） days and （22.96 ± 6.21 ） days, respectively（ P 〈 0.05 ）. Conclusion Obliteration of mastoid cavity with retroauricular vascularized soft tissue flap after open radical mastoidectomy shows the following advantages： ① maximum coverage of mastoid cavity; ②rapid re-eoithelization of mastoid cavity and shortened time to obatin dry ear：③ no further mastoid cavity cleaning.

关 键 词：胆脂瘤中耳炎 乳突根治术 软组织血管瓣 术腔填塞 

分 类 号：R764[医药卫生—耳鼻咽喉科]