自体耳垂脂肪在鼓膜成形术中的应用

发布时间：2018-10-30 07:56

【摘要】：目的探讨自体耳垂脂肪应用于鼓膜成形术的临床疗效。方法以48例(耳)慢性化脓性中耳炎(静止期)患者为研究对象,根据鼓膜穿孔最大直径分为中穿孔组(直径约3~5mm)25例(耳)、小穿孔组(直径小于3mm)23例(耳);中穿孔组采用脂肪压片法,小穿孔组采用脂肪嵌入法分别进行鼓膜成形术;术后2周及1、3、6、12个月复查鼓膜穿孔的愈合情况及听力,比较术前与术后6个月语频区(0.5~4kHz)气导平均听阈及鼓膜愈合率。结果所有患者随访时间均超过6个月,鼓膜穿孔总愈合率95.83%(46/48),平均听力提高11.01±5.15dB;其中,小穿孔组鼓膜愈合率为95.65%(22/23),平均听力提高11.2±4.68dB,中穿孔组鼓膜愈合率为96.00%(24/25),平均听力提高10.8±5.72dB;48耳均未出现手术并发症。结论自体耳垂脂肪组织经压片法或嵌入法用于鼓膜中小穿孔修补术疗效好。
[Abstract]:Objective to investigate the clinical effect of tympanoplasty with autologous earlobe fat. Methods 48 patients with chronic suppurative otitis media (static) were divided into middle perforation group (n = 25) (diameter about 3~5mm) and small perforation group (n = 23) (diameter less than 3mm) according to the maximum diameter of tympanic membrane perforation. The middle perforation group was treated by fat compression method, the small perforation group by fat embedding method, and the middle perforation group by the tympanoplasty. The healing and hearing of tympanic membrane perforation were reexamined at 2 weeks and 1 month after operation. The average threshold of air conduction and the rate of tympanic membrane healing were compared between preoperative and postoperative 6 months after operation in the speech frequency area (0.5~4kHz). Results all the patients were followed up for more than 6 months. The total healing rate of tympanic membrane perforation was 95.83% (46 / 48), and the average hearing improvement was 11.01 卤5.15 dB; Among them, the healing rate of tympanic membrane was 95.65% (22 / 23) in small perforation group, the average hearing was improved 11.2 卤4.68 dB, the healing rate of tympanic membrane was 96.00% (24 / 25) in middle perforation group, and the average hearing improvement was 10.8 卤5.72 dB; No complications were found in 48 ears. Conclusion Autologous ear lobe adipose tissue can be used to repair small perforation of tympanic membrane by pressing or inserting method.
【作者单位】：九江市第一人民医院耳鼻咽喉头颈外科;
【基金】：九江市科技研究发展计划项目(201501005)
【分类号】：R764.9

【参考文献】