自体脂肪组织和耳屏软骨-软骨膜在鼓膜修补术中的应用  

Application of autologous adipose tissue and tragus cartilage perichondrium in myringoplasty

作　　者：石成明 陈兴林 李智 王冠博 Shi Chengming;Chen Xinglin;Li Zhi;Wang Guanbo(Department of Otolaryngology Head and Neck Surgery,Chinese Medicine Hospital of Ziyang City,Sichuan Province 641300)

机构地区：[1]四川省资阳市中医院耳鼻咽喉-头颈外科,641300

出　　处：《中国社区医师》2017年第29期60-61,共2页Chinese Community Doctors

摘　　要：目的:探讨耳内镜与显微手术技术联合自体耳垂脂肪组织和耳屏软骨-软骨膜复合体行鼓膜成形术对鼓膜穿孔的效果。方法:收治鼓膜穿孔患者69例69耳,选择性采用耳内镜下耳垂脂肪组织鼓膜成形术(34耳)和显微镜下耳屏软骨-软骨膜复合体鼓膜成形术(35耳)。结果:两组鼓膜穿孔愈合率分别为91.2%和91.4%;术后患者平均听阈均有提高,差异有统计学意义(P<0.05)。结论:针对不同鼓膜穿孔的特点有选择性地应用手术显微镜或耳内镜技术,均能达到良好的治疗结果。Objective:To investigate the effect of endoscope and microscope technology combined with autologous earlobe adiposetissue and tragus cartilage perichondrium composite myringoplasty surgery on tympanic membrane perforation.Methods:69patients(69ears)with tympanic membrane perforation were selected.34ears with selective earlobe adipose tissue otoendoscopictympanic plasty treatment and35ears with microscopic tragus cartilage perichondrium composite myringoplasty treatment.Results:The healing rate of tympanic membrane perforation in two groups was91.2%and91.4%respectively;improve the averagehearing threshold of patients were postoperative,and the difference was statistically significant(P<0.05).Conclusion:According tothe characteristics of tympanic membrane perforation,selective surgical microscope or ear endoscope technique can achievesatisfactory results.

关 键 词：鼓膜成形术 手术显微镜 耳内镜 移植材料 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]