山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (1): 6-7.doi: 10.6040/j.issn.1673-3770.0.2013.024

• 论著 • 上一篇    下一篇

双软组织血管瓣填塞乳突术腔的临床研究

李少华，孙一帆，卢标清   

  1. 中山市中医院耳鼻喉科， 广东 中山  528400
  • 收稿日期:2013-07-06 出版日期:2014-02-16 发布日期:2014-02-16
  • 作者简介:李少华。 E-mail：lisanangle_f@126.com
  • 基金资助:

    中山市科技局项目(20102A062)

Application of double vascularized soft tissue flap in open radical mastoidectomy

LI Shao-hua, SUN Yi-fan, LU Biao-qing   

  1. Department of Otolaryngology， Hospital of Traditional Chinese Medicine of Zhongshan， Zhongshan  528400, Guangdong, China
  • Received:2013-07-06 Online:2014-02-16 Published:2014-02-16

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摘要：

目的  探讨耳后双软组织血管瓣乳突术腔填塞应用于开放式乳突根治术的临床疗效和意义。方法  胆脂瘤中耳乳突炎患者98例(98耳)，在施行开放式乳突根治术基础上，治疗组52例(52耳)应用耳后双软组织血管瓣填塞乳突腔；对照组46例(46耳)应用带血管蒂的颞肌筋膜瓣填塞乳突术腔。结果  治疗组与对照组的干耳时间分别为(17.07±1.28)d和(22.96±6.21)d，治疗组干耳时间明显短于对照组，差异有统计学意义(P<0.05)。结论  耳后区双软组织血管瓣乳突术腔填塞术应用于开放式乳突根治术，有以下优点:①面积更宽广，可最大限度地覆盖术腔骨面；②可加快术腔上皮化，缩短术后干耳时间；③术后基本无需乳突术腔清理。

关键词: 胆脂瘤中耳炎, 软组织血管瓣, 乳突根治术, 术腔填塞

Abstract:

Objective   To investigate the clinical application of double vascularized soft tissue flap in open radical mastoidectomy． Method   From July 2009 to June 2012, 98 otitis media patients (98ears) with cholesteatoma were treated with open radical mastoidectomy. In 52 cases (52 ears), double  vascularized soft tissue flap was tamped into mastoid cavity, while pedicled temporalis myofascial flap was applied in the other 46 cases (46 ears), as control． Result   The time to achieve a dry ear in treatment and control group were (17.07±/-1.28) days and (22.96±/- 6.21) days, respectively(P<0.05)． Conclusion   Obliteration of mastoid cavity with retroauricular vascularized soft tissue flap after open radical mastoidectomy shows the following advantages: ① maximum coverage of mastoid cavity; ② rapid re-epithelization of mastoid cavity and shortened time to obatin dry ear; ③ no further mastoid cavity cleaning.

Key words: Radical mastoidectomy, Cholesteatoma otitis media, Obliteration, vascularized soft tissue flap

中图分类号: 

  • R764
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