内镜下鼓膜穿孔修复材料的比较

发布时间：2018-07-27 14:24

【摘要】：目的比较内镜下修复鼓膜穿孔不同材料的操作难度、成功率和术后听力。方法总结42例内镜下采用不同修复材料的鼓膜穿孔修复手术,9例耳屏软骨膜,17例削薄软骨+软骨膜复合体,9例全厚软骨,7例人工硬脑膜,这4种穿孔修复材料的操作难度、术后穿孔修复成功率,听力结果。结果 9例耳屏软骨膜患者中有1例术后穿孔,其他材料组无术后穿孔。全厚软骨和人工硬脑膜铺设时间短,容易操作。人工硬脑膜有较好的生物相容性。术后听力重建成功率77.8%-100%,不同材料都有极佳的效果,各组之间无统计学差异。结论耳内镜下修复鼓膜穿孔,全厚软骨和人工硬脑膜是较好的选择,人工硬脑膜可以达到最佳的微创效果和术后成功率。
[Abstract]:Objective to compare the operation difficulty, success rate and postoperative hearing of different materials for repairing tympanic membrane perforation under endoscope. Methods A total of 42 patients with perforation of tympanic membrane were treated with different materials under endoscope. 9 cases of perichondrial membrane of auricular membrane were thinned in 17 cases of chondrochondromatum complex and 9 cases of chondrochondroid complex in 9 cases were treated with full thickness chondrocytes. The operation difficulty of these four kinds of perforation repair materials was analyzed. The successful rate of perforation repair after operation, hearing results. Results of 9 cases, 1 case had perforation after operation, but no perforation was found in other materials group. Full thickness cartilage and artificial dura mater laying time is short, easy to operate. The artificial dura mater has good biocompatibility. The successful rate of hearing reconstruction after operation was 77.8-100. The results of different materials were very good, and there was no statistical difference between each group. Conclusion Total thickness cartilage and artificial dura mater are the best choice for repairing tympanic membrane perforation under ear endoscope. Artificial dura mater can achieve the best minimally invasive effect and postoperative success rate.
【作者单位】：复旦大学附属眼耳鼻喉科医院耳神经颅底外科上海市听觉医学临床中心;
【分类号】：R764.9

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