耳内镜下双人操作外耳道皮瓣法治疗鼓膜大穿孔

发布时间：2018-11-11 15:21

【摘要】：目的:探讨耳内镜下双人四手操作行外耳道皮瓣法治疗鼓膜大穿孔的效果。方法:收集鼓膜穿孔4 mm者20例(20耳)为试验组,在耳内镜下进行双人四手操作,通过外耳道皮瓣内植法进行鼓膜修补术。设对照组23例,在传统显微镜下用内植法行鼓膜修补术。所有病例记录手术时间、术中出血量,术后3个月耳内镜检查鼓膜修补情况,术后6个月纯音听阈测定,对两组数据进行统计学分析。结果:试验组与对照组的手术时间分别为(38.3±10.2)min、(58.4±15.5)min,术中出血量分别为(10.3±2.1)mL、(25.2±3.6)mL,两组数据经t检验差异有显著性。两组穿孔愈合成功率为95.0%与91.3%,差异无显著性。两组术后听力比较差异无显著性。结论:耳内镜下双人四手操作,能够缩短手术时间,减少术中出血,使手术更加微创,提高了术者的操作效率,使耳内镜在中耳手术中得到更加广泛的应用。
[Abstract]:Objective: to investigate the effect of double-hand operation under endoscope on the treatment of large perforation of tympanic membrane by external auditory canal flap. Methods: 20 cases (20 ears) with tympanic membrane perforation for 4 mm were collected as experimental group. 23 cases of control group were treated with tympanic membrane repair under traditional microscope. All cases were recorded the time of operation, the amount of blood lost during operation, the tympanic membrane repair by endoscope 3 months after operation, and the pure tone audiometry at 6 months after operation. The data of the two groups were analyzed statistically. Results: the operative time of the trial group and the control group were (38.3 卤10.2) min, (58.4 卤15.5) min, and (10.3 卤2.1) mL, (25.2 卤3.6) mL, respectively. There was significant difference between the two groups by t test. The success rate of perforation healing in the two groups was 95.0% and 91.3% respectively. There was no significant difference in postoperative hearing between the two groups. Conclusion: double four-hand operation under ear endoscope can shorten the operation time, reduce intraoperative bleeding, make the operation more minimally invasive, improve the operation efficiency of the operator, and make the endoscope more widely used in the middle ear operation.
【作者单位】：东莞光华医院;
【基金】：广东省东莞市科技局医疗卫生立项项目(编号:20131051010231)
【分类号】：R764

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