生物陶瓷人工听骨在开放式鼓室成形术中的应用  

The Evaluation of the Ceramic Artificial Auditory Ossicle in Open Mastoidectomy with Tympanoplasty

作　　者：Chandra Sharma Suraj 田兴德[2] 强笔[2] 李彦[2] 张云龙[2] 

机构地区：[1]长江大学医学院,湖北荆州434000 [2]长江大学第一临床医学院荆州市第一人民医院耳鼻咽喉头颈外科,湖北荆州434000

出　　处：《长江大学学报（自科版）（下旬）》2016年第6期15-17,3-4,共3页Journal of Yangtze University

摘　　要：目的：探讨生物陶瓷人工听骨在开放式鼓室成形术中应用的效果。方法：2010年1月至2014年12月间慢性化脓性中耳乳突炎的患者96例98耳，行开放式乳突根治鼓室成形术中应用生物陶瓷人工听骨作听骨链重建术，经1年以上随访，分析疾病康复和听力提高的效果。结果：鼓膜修补一次成功97耳，1耳术后鼓膜出现小穿孔。术后中耳乳突腔2个月干耳的85耳、3个月干耳10耳、〉3个月干耳3耳；术后迟发性面瘫1例，治疗康复。术后换药眩晕2例、耳廓软骨膜炎1例。术后12个月，98耳听力保存了术前相同或高于术前的听力水平。听力测试：语言频率平均气导听阈在30dBHL内有4例5耳，听力提高20-30dBHL 32耳，10-20dBHL26耳，0～10dBHL35耳。以听力提高10dBHL以上为有效，听力提高有效率为64．3％（63／98）。结论：生物陶瓷人工听骨生物相容性好，疗效确切，无不良反应，Objective:To evaluate the application of Ceramic artificial auditory ossicle in open mastoidectomy with tympanoplasty.Methods:Retrospective study of 98 cases who suffered from chronic otitis media,with the application of ceramic artificial auditory ossicle in open mastoidectomy with tympanoplasty,after 1year of the follow ups,analysed the wound healing and the hearing level.Results:97cases cured,perforation was observed in 1case.85 cases had dry ear after 2months of the operation,10 cases in3months,and the remaining 3cases after >3months;1case developed facial paralysis after few weeks of the operation which was healed after the treatment.2cases suffered from post operative vertigo while dressing the wound,1case had auricular chondritis.1year later,all the 98 cases had the better or same hearing level.Post operative audiometry test indicated the average of air conduction as follow:0 ~ 10 dBHL 35cases,10 ~ 20 dBHL 26cases,20 ~ 30 dBHL 32cases,30 dBHL in5cases.When the hearing improves more than 10 dBHL,it is significant.The hearing improvement percentage is 64.3%(63/98).Conclusion:ceramic artificial auditory ossicle is compatible and has a significant treatment efficacy,without side effects,it is recommended in our country.

关 键 词：陶瓷人工听骨 开放式鼓室成形术 听力重建 

分 类 号：R764.92[医药卫生—耳鼻咽喉科]