耳镜下采用大蒜内膜与颞肌筋膜行鼓膜修补术的疗效比较  

Comparison of curative effect of garlic intima and fasciamusculus temporalis on myringoplasty under ear endoscope

作　　者：熊辉强[1] 赖明亮[1] 王鹤龄[1] Xiong Huiqiang;Lai Mingliang;Wang Heling(Department of Otolaryngology Head and Neck Surgery,People's Hospital of Fengcheng,Fengcheng331100,China)

机构地区：[1]江西省丰城市人民医院耳鼻咽喉头颈外科,331100

出　　处：《临床医学》2019年第1期29-31,共3页Clinical Medicine

摘　　要：目的探讨耳镜下大蒜内膜与颞肌筋膜在外伤性鼓膜穿孔修补术的临床应用疗效。方法选择2016年1月至2017年11月治疗的外伤性鼓膜穿孔患者40例,将其随机分为两组,在耳镜下分别采用大蒜内膜和自体颞肌筋膜进行鼓膜修补术,比较两组患者的临床疗效。结果术后随访3～6个月,大蒜内膜组与颞肌筋膜组鼓膜小穿孔的I期愈合率分别为88.9%和90.9%,大穿孔的I期愈合率分别为81.8%和88.9%,两组患者手术后的平均听阈均有明显提高,差异未见统计学意义(P>0.05)。结论采用大蒜内膜对鼓膜穿孔进行修补成功率接近自体颞肌筋膜,听力改善明显,大蒜内膜取材经济方便,操作简单,损伤小。Objective To investigate the clinical efficacy of the garlic intima and fasciamusculus temporalis on myringoplasty under ear endoscope in traumatic perforation of ear drum.Methods Forty patients with traumatic perforation of ear drum were selected from January 2016 to November 2017,the patients were randomly divided into two groups.The garlic intima and the autologous fasciamusculus temporalis were used to repair the perforation of ear drum under the ear endoscope,and the clinical effect of the two groups was compared.Results After 3-6 months of follow-up,the healing rates of I stage in the two groups of the small perforation of ear drum were 88.9% and 90.9% respectively.The healing rates at stage I for large perforation of ear drum were 81.8% and 88.9% respectively.The average hearing threshold of the two groups was significantly improved,and the difference was not significant(P>0.05).Conclusions The success rate of the myringoplasty with garlic intima is close to that of the autologous fasciamusculus temporalis,and the hearing improvement is obvious.The garlic intima collection is economical,and is easy to operate and has little damage.

关 键 词：鼓膜穿孔 大蒜内膜 自体颞肌筋膜 鼓膜修补术 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]