山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (2): 49-50.

• 论文 • 上一篇    下一篇

耳软骨鼓室成形术治疗黏连性中耳炎的临床观察

伍红良1,唐安洲2,刘强和1   

  1. 1.桂林医学院附属医院耳鼻咽喉头颈外科, 广西 桂林 541001;  2.广西医科大学第一附属医院耳鼻咽喉头颈
    外科, 南宁 530021
  • 收稿日期:2011-12-22 出版日期:2012-04-16 发布日期:2012-04-16
  • 作者简介:伍红良,硕士,主治医师

Clinical observation of self ear cartilage tympanoplasty for adhesive otitis media

WU Hong-liang1, TANG An-zhou2, LIU Qiang-he1   

  1. 1.Department of Otolaryngology & Head and Neck Surgery, Affiliated Hospital of Guilin Medical University,Guilin 541001,Guangxi, China; 2. Department of Otolaryngology & Head and Neck Surgery, Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
  • Received:2011-12-22 Online:2012-04-16 Published:2012-04-16

摘要:

目的   探讨自体耳软骨鼓室成形术治疗中耳炎的疗效。方法   回顾分析14例黏连性中耳炎患者耳软骨置入鼓室成形术的临床资料。术中记录病灶,术后观察鼓膜情况,评估术后听力改善水平。结果   术后1个月内全部干耳,13例鼓膜完全成活,1例鼓膜出现边缘性裂隙,3例行一期听骨链重建,1例出现听力下降,术前平均气骨导差(250、500、1000、2000kHz)为50.25dB,术后1年为17.22dB,气骨导差值缩小>25dB。结论   利用耳软骨鼓室重建治疗黏连性中耳炎有较好疗效,术中应注意清除病灶及保证咽鼓管通畅。

关键词: 黏连性中耳炎;鼓室成形术;耳软骨;气骨导差;临床观察

Abstract:

Objective   To observe the curative effect of self ear cartilage tympanoplasty on adhesive otitis media. Methods   The data of 14 patients with adhesive otitis media who were treated with tympanoplasty mediated by the implantation of self ear cartilage were retrospectively reviewed, and intra-operative nidus records, and post-operative eardrums and hearing improvement level were analyzed. Results   All patients had dry ears after one month, including healing in 13, marginal crack in 1, ossicular chain reconstruction in 3,  and hearing loss in 1. The pre-operative average ABG (250, 500, 1000, and 2000kHz) was 50.25dB, the average ABG (250, 500, 1000, and 2000kHz) after one year was 17.22dB, and the average ABG was reduced by more than 25dB. Conclusion   It is feasible to treat adhesive otitis media by ear cartilage reconstruction. Clearing away nidus in operation and ensuring that Eustachian tube is open are very important for ideal effect.

Key words: Adhesive otitis media; Tympanoplasty; Ear cartilage; Air-bone gap; Clinical observation

中图分类号: 

  • R764.21
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