中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
4期
88-89
,共2页
王侠%宋建京%于晓伟%王爱初%王培成%韩丽
王俠%宋建京%于曉偉%王愛初%王培成%韓麗
왕협%송건경%우효위%왕애초%왕배성%한려
中耳炎%中耳畸形%人工听骨%鼓室成形术
中耳炎%中耳畸形%人工聽骨%鼓室成形術
중이염%중이기형%인공은골%고실성형술
Otitis media%Middle ear malformation%Artificial ossicle%Tympanoplasty
目的 探讨人工听骨在传导性耳聋患者鼓室成形手术中应用的效果.方法 对传导性耳聋患者采用人工听骨赝复物(Partial ossicular replacement prostheses,PORP或Toutal ossicular replacement prostheses,TORP,美国美敦力公司)取代被破坏的和缺失的自体听小骨而将听骨链进行有效的链接.结果 对施行该手术的患者进行随访6～47个月,鼓膜修补愈合良好,平均气导听阈降低27.8 dB HL,术后听力提高有效率79.3%,没有患者发生排异反应和病变复发.结论 应用人工听骨赝复物PORP或TORP对传导性耳聋患者重建听骨链行鼓室成形术是安全有效的.
目的 探討人工聽骨在傳導性耳聾患者鼓室成形手術中應用的效果.方法 對傳導性耳聾患者採用人工聽骨贗複物(Partial ossicular replacement prostheses,PORP或Toutal ossicular replacement prostheses,TORP,美國美敦力公司)取代被破壞的和缺失的自體聽小骨而將聽骨鏈進行有效的鏈接.結果 對施行該手術的患者進行隨訪6～47箇月,鼓膜脩補愈閤良好,平均氣導聽閾降低27.8 dB HL,術後聽力提高有效率79.3%,沒有患者髮生排異反應和病變複髮.結論 應用人工聽骨贗複物PORP或TORP對傳導性耳聾患者重建聽骨鏈行鼓室成形術是安全有效的.
목적 탐토인공은골재전도성이롱환자고실성형수술중응용적효과.방법 대전도성이롱환자채용인공은골안복물(Partial ossicular replacement prostheses,PORP혹Toutal ossicular replacement prostheses,TORP,미국미돈력공사)취대피파배적화결실적자체은소골이장은골련진행유효적련접.결과 대시행해수술적환자진행수방6～47개월,고막수보유합량호,평균기도은역강저27.8 dB HL,술후은력제고유효솔79.3%,몰유환자발생배이반응화병변복발.결론 응용인공은골안복물PORP혹TORP대전도성이롱환자중건은골련행고실성형술시안전유효적.
Objective OEvaluate the effect of ossicular reconstruction with partial ossicular replacement prostheses (PORP) or toutal ossicular replacement prostheses (TORP). Methods We effectively connected the ossicular chain used the PORP or TORP, replaced the destructive autologous ossicular. Results All the patients were followed-up for 6-47 months, the tympanic membrane got well, the averaged postoperative air conduction reduced 27.8 dB HL, the effectiveness was 79.3%. The recurrent and the reject reaction were zero. Conclusion It is considered that the PORP or TORP was a safety and useful material for ossicular reconstrction in the tympanoplasty.
