人工听骨链与自体听骨链重建对慢性中耳炎患者听力及预后的影响  

Effect of reconstruction of artificial ossicular chain and autologous ossicular chainon hearing and prognosis in patients with chronic otitis media

作　　者：郭凌云 兰宁 廖鹏飞 陈维斌 GUO Lingyun;LAN Ning;LIAO Pengfei;CHEN Weibin(Yichun Municipal People′s Hospital,Yichun,Jiangxi 336000,China)

机构地区：[1]江西省宜春市人民医院,江西宜春336000

出　　处：《检验医学与临床》2023年第7期895-898,共4页Laboratory Medicine and Clinic

基　　金：江西省宜春市科技计划项目(JXYC2021KSA020)。

摘　　要：目的 探讨人工听骨链与自体听骨链重建对慢性中耳炎(COM)患者听力及预后的影响。方法 选择2019年11月至2021年10月于该院治疗的88例COM患者作为研究对象,按照随机数字表法将其分为人工听骨组和自体听骨组,各44例。人工听骨组采用钛合金人工听骨链重建术治疗,自体听骨组采用自体听骨链重建术治疗。比较两组临床疗效、手术时间、听力、生活质量及并发症发生情况。结果 人工听骨组治疗总有效率(86.36%)高于自体听骨组(68.18%),人工听骨组手术时间为(109.97±14.68)min,短于自体听骨组的(121.85±17.52)min,术后两组气导、骨导、气骨导差(ABG)、听力障碍筛查量表(HHIE)评分均低于术前,且人工听骨组气导为(28.14±7.35)dB、骨导为(14.76±3.87)dB、ABG为(13.37±8.69)dB、HHIE评分为(7.98±2.33)分,均低于自体听骨组的(34.13±6.95)dB、(16.94±4.80)dB、(17.19±8.58)dB、(10.97±2.61)分,差异均有统计学意义(P<0.05);两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论 COM患者采用人工听骨链重建治疗有利于提高患者听力水平及生活质量,且手术耗时短,术后并发症并未增加,临床应用安全可靠,可作为一种较为理想的听骨链重建材料。Objective To investigate the effect of reconstruction of artificial ossicular chain and autologous ossicular chain on hearing and prognosis in the patients with chronic otitis media(COM).Methods Eighty-eight patients with COM treated in this hospital from November 2019 to October 2021 were selected as the study subjects and divided into artificial ossicular group and autogenous ossicular group according to the random number table method,44 cases in each group.The artificial ossicular group was treated with titanium alloy artificial ossicular chain reconstruction,while the autogenous ossicular group was treated with autogenous ossicular chain reconstruction.The clinical efficacy,operation time,hearing,quality of life and complications were compared between the two groups.Results The total effective rate in the artificial ossicular group was 86.36%,which was higher than 68.18%in the autogenous ossicular group.The operation time in the artificial ossicular group was(109.97±14.68)min,which was shorter than(121.85±17.52)min in the autogenous ossicular group.The scores of air conduction,bone conduction,air bone conduction difference(ABG)and hearing impairment screening scale(HHIE)after operation in the two groups were lower than those before operation,moreover the air conduction in the artificial ossicular group was(28.14±7.35)dB,and the bone conduction was(14.76±3.87)dB,ABG was(13.37±8.69)dB,HHIE score was(7.98±2.33)points,which were lower than(34.13±6.95)dB,(16.94±4.80)dB,(17.19±8.58)dB and(10.97±2.61)points in the autogenous ossicular group,and the differences were statistically significant(P<0.05);there was no statistically significant difference in the total complication occurrence rate between the two groups(P>0.05).Conclusion Adopting the artificial ossicular chain reconstruction treatment for COM patients is beneficial to improve the hearing level and quality of life in the patients,moreover the operation time is short,the postoperative complications are not increased,the clinical application is safe

关 键 词：慢性中耳炎 人工听骨链重建 自体听骨链重建 听力改善 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]