生物羊膜在外伤性鼓膜穿孔修复中的临床应用  

Application of biological amniotic membrane for repair of traumatic perforation of tympanic membrane

作　　者：李军政[1] 陈伟南[1] 金红[1] 邓丽芳[1] 高翔[1] 李荣需[1] 田文栋[2] 

机构地区：[1]广东省东莞市太平人民医院耳鼻咽喉-头颈外科,523900 [2]南方医科大学南方医院耳鼻咽喉头颈外科,广州市510515

出　　处：《实用医学杂志》2014年第10期1612-1614,共3页The Journal of Practical Medicine

基　　金：广东省自然科学基金(编号:10151051501000068);东莞市卫生科技基金项目(编号:200910515025109)

摘　　要：目的:探讨耳内镜下应用瑞济生物羊膜修复外伤性鼓膜穿孔的临床疗效。方法:在耳内镜下对6个月未愈合的外伤性鼓膜穿孔38例患者进行修复手术,术中分别采用外置法,术后观察穿孔修复情况。结果:除1例创面感染,穿孔未一期愈合,其余全部成活,成功率为97.37%。结论:生物羊膜对外伤性鼓膜穿孔修补手术疗效确切,耳内镜下应用外置法行鼓膜修补术创伤小、成功率高。Objective To investigate the clinical efficacy of biological amniotic membrane for otoscpic repair of traumatic perforation of tympanic membrane. Methods Otoscpic repair was performed on the patients with tympanic membrane perforation which was not healed for 6 months. The efficacy was observed postoperatively. Results The success rate of the procedure was 97.37%, except that one patient was not healing by first intention due to wound infection. Conclusions Biological amniotic membrane is definitely efficacious in the surgical repair of perforation of tympanic membrane. Otoscpic sugical repair is less invassive and has a higher success rate.

关 键 词：内窥镜 鼓膜穿孔 生物羊膜 外置法 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]