医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
16期
298-298
,共1页
中耳炎%粘连%鼓室成形术%筋膜
中耳炎%粘連%鼓室成形術%觔膜
중이염%점련%고실성형술%근막
Otitis media%Adhesions%Tympanoplasty%Tendon
目的探讨治疗粘连性中耳炎的手术方法及手术适应证的选择。方法对36例粘连性中耳炎患者进行了手术治疗。术后随访1年及以上的15例。术前（x± s，以下同）骨气导差（500、1000、2000Hz，41.6±3.7）dB。术中切除粘连的鼓膜以及肉芽瘢痕组织；或分离粘连的鼓膜，进行听骨链重建，用颞肌筋膜进行修补或进行置管。结果术后3月平均骨气导差为（25.4±7.2）dB。25耳术后1年以上平均骨气导差为（28.4±8.7）dB，有9例随访3年以上骨气导差<19 dB。用耳内镜观察鼓膜接近正常。结论粘连性中耳炎可以进行手术治疗，需要根据不同的情况选择不同的手术方式及适应症。用颞肌筋膜进行修补或进行置管是可以选择的方法。
目的探討治療粘連性中耳炎的手術方法及手術適應證的選擇。方法對36例粘連性中耳炎患者進行瞭手術治療。術後隨訪1年及以上的15例。術前（x± s，以下同）骨氣導差（500、1000、2000Hz，41.6±3.7）dB。術中切除粘連的鼓膜以及肉芽瘢痕組織；或分離粘連的鼓膜，進行聽骨鏈重建，用顳肌觔膜進行脩補或進行置管。結果術後3月平均骨氣導差為（25.4±7.2）dB。25耳術後1年以上平均骨氣導差為（28.4±8.7）dB，有9例隨訪3年以上骨氣導差<19 dB。用耳內鏡觀察鼓膜接近正常。結論粘連性中耳炎可以進行手術治療，需要根據不同的情況選擇不同的手術方式及適應癥。用顳肌觔膜進行脩補或進行置管是可以選擇的方法。
목적탐토치료점련성중이염적수술방법급수술괄응증적선택。방법대36례점련성중이염환자진행료수술치료。술후수방1년급이상적15례。술전（x± s，이하동）골기도차（500、1000、2000Hz，41.6±3.7）dB。술중절제점련적고막이급육아반흔조직；혹분리점련적고막，진행은골련중건，용섭기근막진행수보혹진행치관。결과술후3월평균골기도차위（25.4±7.2）dB。25이술후1년이상평균골기도차위（28.4±8.7）dB，유9례수방3년이상골기도차<19 dB。용이내경관찰고막접근정상。결론점련성중이염가이진행수술치료，수요근거불동적정황선택불동적수술방식급괄응증。용섭기근막진행수보혹진행치관시가이선택적방법。
Objective To study the surgical indications and treatment for adhesive otitis media (AOM) Methods Thirty-six cases of AOM were undergone tympanoplasty between 1999 to 2003.Preoperative average air-bone gap (A-B gap) were (41.6±3.7)dB. Fifteen cases could be postoperative fol owed up for more than one year. The adhesive ear drum and the other processes in middle ear were inserted and reconstructed with tendon or expand tube. Results The postoperative average A-B gap afer three month (36 cases) and one year (25 cases) were(25.4±7.2)dB and(28.4±8.7)dB. The A-B gap of 9 cases were less than 16 dBfor more than 3 years. Drum become a nearly normal tympanum. Conclusion The AOM can treatment with tympnoplasty. But the indication and fashion of operative of method must be careful y selected. The adhesive ear drum and the other processes in middle ear were inserted and reconstructed with tendon or expand tude were good method .
