山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (6): 42-44.doi: 10.6040/j.issn.1673-3770.0.2013.106

• 论著 • 上一篇    下一篇

耳内镜下自体脂肪鼓膜修补术疗效分析

吴龙军1,2,黄益灯2,夏思文2   

  1. 1.温州医科大学第一临床学院; 2.解放军第118医院耳鼻咽喉科,浙江 温州  325000
  • 收稿日期:2013-04-07 发布日期:2013-12-16
  • 通讯作者: 黄益灯, 主任医师,硕士研究生导师。Emai:huang-yideng@126.com
  • 作者简介:吴龙军。Emai:19871102wslj@163.com

Therapeutic effects of otoscopic myringoplasty with autogenous adipose tissue

WU Long-jun1,2, HUANG Yi-deng2, XIA Si-wen2   

  1. 1. The First Clinical College of Wenzhou Medical University, Wenzhou, 325000 Zhejiang, China; 2. Department of Otolaryngology, The 118th Hospital of Chinese PLA, Wenzhou 325000, Zhejiang, China
  • Received:2013-04-07 Published:2013-12-16

摘要:

目的    探讨耳内镜下自体脂肪鼓膜修补的疗效。方法    回顾性分析128例患者行自体脂肪鼓膜修补术,自体脂肪取自耳垂或腹部,对于鼓膜紧张部大穿孔一次修补不成功者,再次或多次行自体脂肪鼓膜修补术。结果    一次性鼓膜修补成功120 例,两次修补成功6例,3次修补成功2例,总治愈率100%,术后6个月复查电测听,言语频率听阈恢复到平均(21.4±8.6)dB,骨、气导差缩小至(10.2±4.6)dB。结论    耳内镜下自体脂肪鼓膜修补术适合于鼓膜紧张部中央型穿孔,视野清晰,操作准确,患者创伤小,恢复快,对于鼓膜紧张部大穿孔,一次修补穿孔未愈者,可再次或多次行脂肪修补术。

关键词: 耳内镜, 自体脂肪, 鼓膜修补术

Abstract:

Objective    To investigate the therapeutic effects of otoscopic myringoplasty with autogenous adipose tissue. Methods    128 cases of otoscopic myringoplasty with autogenous adipose tissue, which were harvested from earlobe or abdomen, were analyzed. The surgical procedure might be repeated due to difficult closure for large tympanic perforation. Results    The perforation of tympanic membranes were successfully repaired with one myringoplasty in 120 patients, twice in 6 patients and three times in 2 patients. The total cure rate was 100%. Hearing examination six months postoperative showed the average threshold of pure tone air conduction was(21.4±8.6)dB. The threshold difference between pure tone bone-conduction and air-conduction was only(10.2±4.6)dB. Conclusion    Otoscopic myringoplasty with autogenous adipose is a simple, easy  and minimally invasive procedure, which can be applied in the repair of large central perforation of membrana tensa,and the patients with failed operation.

Key words: Myringoplasty, Otoscope, Autogenous adipose tissue

中图分类号: 

  • R764.92
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