钛人工听骨在I期乳突切开+鼓室成形术中应用的短期疗效观察

doi:10.6040/j.issn.1673-3770.1.2019.005

摘要/Abstract

摘要： 目的

探讨钛人工听骨用于I期乳突切开和鼓室成形术中的短期疗效。

方法

以2013年 1月~2017年6月江苏省人民医院耳鼻咽喉科80例（81耳）行I期乳突切开+鼓室成形术中应用钛人工听骨的患者为研究对象，按手术方式分为完壁式乳突切开+鼓室成形术并I期人工听骨植入（完壁植入组31耳）；开放式乳突切开+鼓室成形术并I期人工听骨植入（开放植入组50耳）。对比观察两组术后近期疗效。

结果

完壁植入组术后平均气骨导差为 (18.65±9.46) dB，听力重建成功率83.87%；开放植入组术后平均气骨导差为(19.90±9.42) dB，听力重建成功率 62.00%；两组手术前后气导及气骨导差（ABG）平均值比较差异均有统计学意义（P ＜0.05）。两组之间术后听力重建成功率比较差异有统计学意义（P ＜0.05）。

结论

开放式、完壁式鼓室成形术中I期植入钛人工听骨均能有效提高听力。

关键词: 鼓室成形术, 钛人工听骨, 气骨导差

Abstract: Objective

To explore the short-term effects of artificial titanium ossicles in stage I mastoidectomy and tympanoplasty.

Methods

From January 2013 to June 2017, 80 patients (81 ears) who underwent stage I mastoidectomy and tympanoplasty with artificial titanium ossicles were divided in two groups: the canal wall-up tympanoplasty and stage I ossicular implantation group (CWUT; 31 ears) and the canal wall-down tympanoplasty and stage I ossicular implantation group (CWDT; 50 ears). The short-term curative effects of artificial titanium ossicular implantation in these groups were observed and compared.

Results

The average postoperative air-bone gaps (ABG) in CWUT was 18.65±9.46 dB, and the success rate of hearing reconstruction was 83.87%. The average postoperative air-bone gaps (ABG) in CWDT was 19.90±9.42 dB, and the success rate of hearing reconstruction was 62.00%. There were significant differences in the mean values of air and air-bone gaps (ABG) between the groups before and after the operation (P < 0.05). The success rates of postoperative hearing reconstruction between the groups were statistically significant (P < 0.05).

Conclusion

The implantation of artificial titanium auditory ossicles in both CWUT and CWDT improve hearing.

Key words: Tympanoplasty, Artificial titanium ossicle, Air-bone gap

中图分类号:

R764.21

林伟,朱冬超,陈智斌. 钛人工听骨在I期乳突切开+鼓室成形术中应用的短期疗效观察[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 66-70.

Wei LIN,Dongchao ZHU,Zhibin CHEN. Short-term effects of artificial titanium auditory ossicles in stage I mastoidectomy and tympanoplasty[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 66-70.

图/表 4

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指标	完壁植入组（n=31）				开放植入组（n=50）
指标	术前	术后6个月	t	P	术前	术后6个月	t	P
平均气导阈	58.74±10.46	38.68±11.34	11.72	＜0.01	57.05±14.84	37.06±12.33	13.03	＜0.01
平均骨导阈	19.58±6.44	19.71±6.76	0.33	＞0.05	18.25±10.85	17.32±9.68	0.91	＞0.05
ABG	39.16±10.28	18.65±9.46	11.98	＜0.01	37.94±11.85	19.90±9.42	12.44	＜0.01

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