CAJ | 학술논문

目的：探讨用耳屏软骨环-软骨膜在儿童行鼓膜成形术的疗效。方法：回顾性分析我科2007年5月至2009年7月25耳鼓膜穿孔的儿童患者采用自体耳屏软骨环-软骨膜行鼓膜成形术治疗鼓膜穿孔，并对手术方法及疗效进行分析。结果：经1年以上随访，25例患儿鼓膜穿孔愈合率为100％，未见内陷、外移、钝角愈合。术后骨气导差(10.98±3.34)dBHL，与术前(25.77±3.67)dBHL相比差异有统计学意义(P<0.01)。结论：软骨环-软骨膜在儿童鼓膜成形术中的应用是安全、有效的，能获得较高的鼓膜愈合率和明显的听力改善。
목적：탐토용이병연골배-연골막재인동행고막성형술적료효。방법：회고성분석아과2007년5월지2009년7월25이고막천공적인동환자채용자체이병연골배-연골막행고막성형술치료고막천공，병대수술방법급료효진행분석。결과：경1년이상수방，25례환인고막천공유합솔위100％，미견내함、외이、둔각유합。술후골기도차(10.98±3.34)dBHL，여술전(25.77±3.67)dBHL상비차이유통계학의의(P<0.01)。결론：연골배-연골막재인동고막성형술중적응용시안전、유효적，능획득교고적고막유합솔화명현적은력개선。
Objective: To evaluate the efficacy of cartilage-perichondrium composite ring graft for myringoplasty in children. Methods:We did a retrospective analysis on the clinical profiles of 25 children with tympanic membrane perforation who underwent myringoplasty using cartilage-perichondrium composite ring graft in the department of otorhinolaryngology, Guangzhou First People’s Hospital, between May 2007 and July 2009. This entailed the analyses based on the approach for surgery and the efficacy. Results:The overall success rate was 100% after the follow-up period of 1 year. No cases of retraction, graft lateralization or anterior blunting were reported. There was a marked reduction in the postoperative bone-air conduction gap compared with the preoperative levels[(10. 98 ± 3. 34) dBHL vs. (25. 77 ± 3. 67) dBHL, P <0. 01]. Conclusion: Cartilage-perichondrium composite ring graft is a reliable procedure for children who undergo myringoplasty and is associated with excellent healing and significant improvement in hearing.