耳屏软骨环-软骨膜在儿童鼓膜成形术中的应用  

Efficacy of cartilage-perichondrium composite ring graft for myringoplasty in children

作　　者：李鹏[1] 黄顺德[1] 谢景华[1] 高雄辉[1] 

机构地区：[1]广州市第一人民医院耳鼻咽喉科,广东广州510180

出　　处：《广州医学院学报》2013年第6期19-21,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的:探讨用耳屏软骨环-软骨膜在儿童行鼓膜成形术的疗效。方法:回顾性分析我科2007年5月至2009年7月25耳鼓膜穿孔的儿童患者采用自体耳屏软骨环-软骨膜行鼓膜成形术治疗鼓膜穿孔,并对手术方法及疗效进行分析。结果:经1年以上随访,25例患儿鼓膜穿孔愈合率为100%,未见内陷、外移、钝角愈合。术后骨气导差(10.98±3.34)dBHL,与术前(25.77±3.67)dBHL相比差异有统计学意义(P<0.01)。结论:软骨环-软骨膜在儿童鼓膜成形术中的应用是安全、有效的,能获得较高的鼓膜愈合率和明显的听力改善。Objective： To evaluate the efficacy of cartilage-perichondrium composite ring graft for myringoplasty in children. Methods： We did a retrospective analysis on the clinical profiles of 25 children with tympanic membrane perforation who underwent myringoplasty using cartilage-perichondrium composite ring graft in the department of otorhinolaryngology, Guangzhou First People＇ s Hospital, between May 2007 and July 2009. This entailed the analyses based on the approach for surgery and the efficacy. Results： The overall success rate was 100% after the follow-up period of 1 year. No cases of retraction, graft lateralization or anterior blunting were reported. There was a marked reduction in the postoperative bone-air conduction gap compared with the preoperative levels[ （ 10.98 ± 3.34） dBHL vs. （25.77 ± 3.67 ） dBHL, P 〈 0.01 ]. Conclusion： Cartilage- perichondrium composite ring graft is a reliable procedure for children who undergo myringoplasty and is associated with excellent healing and significant improvement in hearing.

关 键 词：鼓膜成形术 软骨 软骨膜 儿童 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]