摘要
目的探讨自体软骨一软骨膜在中耳炎鼓室成形术中的应用、效果、移植组织的转归。方法36例慢性化脓性中耳炎患者行软骨一软骨膜复合物鼓室成形术；术后10d，1、3、6个月，1、2年随访观察。结果术后10d，愈合32例，鼓膜前上方、前下方出现缝隙各1例，术后感染2例，再次手术痊愈，3～6个月新鼓膜形态完整，6个月～2年2例鼓膜出现增厚、萎缩斑。随访2年成功100％；术前平均气导为（45．76±8．30）dBHL，骨气导差距为（26．15±8．05）dBHL；术后1个月为（30．48±7．35）dBHL和（19．51．4±6,31）dBHL；3个月为（26．08±7．12）dBHL和（12．53±7．69）dBHL：6个月为（23．65±7．60）dBHL和（10．894±5．42）dBHL。术后1个月听力较术前明显提高，术后3个月较术后1个月明显提高（P〈0．01）；术后6个月，1、2年与术后3个月比较差异无统计学意义（P〉0．05）。结论自体软骨一软骨膜复合物，是鼓室成形术中修补鼓膜的理想材料，操作便利，取材容易；且新鼓膜形态接近正常，术后听力提高明显，临床治愈率高。
Objective To investigate the potential applications, effects, and the outcome of transplant tissue of antilogous cartilage - cartilage membrane complex in tympanoplasty. Methods 36 cases of chronic suppurative otitis media patients with antilogous cartilage-cartilage membrane complex in tympanoplasty, follow-up after post-operation 10d, 1, 3, 6 months to 1, 2 years. Results After 10d, 32 cases healed; 1 case gap in the top of the tympanic membrane, 1 case on the bottom, 2 had infection, healed after re-operation; all cases with new tympanic membrane in 3 - 6 months, 2 cases the tympanic membrane become thickening and shrink plaque in 6 months to 2 years; follow up two years, all cured. Preoperative mean air conduction was （ 45.76± 8.30 ） dB HL, bone-air conduction gap （ 26.15 ± 8.05 ） dB HL; 1 month were （ 30.48 ± 7.35 ） dB HLand （19.51±6.31） dB HL; 3 months were （26.08＋7.12） dB HLand （12.53±7.69） dB HL; 6 months were （ 23.65 ± 7.60 ） dB HL and （ 10.89± 5.42 ） dB HL respectively. Heating significantly improved after 1 month post-operation, compared with 3 months increased （ P〈0.01 ） ： after 6 months, 1, 2 years and 3 months were no statistically meaning （ P〉0.05 ） . Conclusion Autologous cartilage - cartilage complex is an ideal material, operation supervised by convenience, easy drawing in tympanoplasty; the new tympanic membrane with normal morphology, hearing improved significantly, clinical cure rate is high.
出处
《浙江临床医学》
2012年第7期798-800,共3页
Zhejiang Clinical Medical Journal
关键词
自体软骨-软骨膜复合物
鼓室成形术
应用价值
Autologous cartilage-cartilage membrane complex, Tympanoplast,Application value
