腭裂修复术及不同术式对中耳功能的影响  

The effect of palate repair on middle ear function

作　　者：邢晓建[1] 刘建华[1] 李宝树[2] 文抑西[1] 

机构地区：[1]西安交通大学口腔医学院颌面外科,710004 [2]西安交通大学第二医院耳鼻咽喉科

出　　处：《实用口腔医学杂志》2001年第4期291-293,共3页Journal of Practical Stomatology

摘　　要：目的：研究腭裂修复术及不同术式对中耳功能的影响。方法：应用声导抗及耳镜检查，对４３例腭裂患者于手术前及术后半年，进行分泌性中耳炎（ＳＯＭ）发病情况和中耳功能检测。结果：腭裂修复术能使患者中耳功能得到明显的改善（Ｐ＜０．０１）；不同的修复方法改善程度不同（Ｐ＜０．０５），以改良的“反向双Ｚ腭成形术”疗效更优。结论：腭裂修复术有益于中耳功能的改善，应提倡符合生理功能要求的腭裂修复术。Objective: To study the effect of palate repair operation on middle ear function. Methods: Cleft palate was repaired with double-opposing Z-plasty(DOZ) in 20 cases and with routin method (RM ) in 23 cases. Secretory otitismedia (SOM), high negative pressure (HNP), stapedial reflex(SR) and low acoustic compliance (LAC) were determined 3d before and 6 months after operation respectively. Results: Of the total 86 ears, before operation the persentages of SOM, HNP, SR and LAC were 61. 63, 75. 58, 29. 07 and 65. 15; after operation those were 31.39, 43.02, 66.28 and 33.72, respectively. Of the 40 ears of the cases treated with DOZ the persentages of those were 20.00, 27.50, 72.50 and 25.00) while of the 46 ears of the cases treated with RM those were 41.30, 56.52, 60.87 and 41.30 respectivellly. Conclusion: Middle ear function can be improved by palate repairs surgery, better results may be achieved with double opposing Z-plasty technique.

关 键 词：腭裂 腭成形术 中耳功能 手术方式 修复术 

分 类 号：R782.22[医药卫生—口腔医学]