CAJ | 학술논문

目的探讨耳内镜下腹壁脂肪修补中央性鼓膜穿孔的临床效果.方法回顾性分析64例(68耳)中央性鼓膜穿孔的病例资料,均于耳内镜下行腹壁脂肪修补术,术后随访3～6个月,术后6个月复查纯音测听,观察术后疗效.结果鼓膜一次性愈合63耳；鼓膜部分愈合4耳,予新鲜鸡蛋膜外贴修补后愈合；1耳未愈；一次性治愈率为92.6％(63/68).结论耳内镜视野清晰,使用简单方便；耳内镜下腹壁脂肪修补中央性鼓膜穿孔临床效果显著,值得在基层医院推广应用.
목적 탐토이내경하복벽지방수보중앙성고막천공적림상효과.방법 회고성분석64례(68이)중앙성고막천공적병례자료,균우이내경하행복벽지방수보술,술후수방3～6개월,술후6개월복사순음측은,관찰술후료효.결과 고막일차성유합63이；고막부분유합4이,여신선계단막외첩수보후유합；1이미유；일차성치유솔위92.6％(63/68).결론 이내경시야청석,사용간단방편；이내경하복벽지방수보중앙성고막천공림상효과현저,치득재기층의원추엄응용.
Objective To explore the clinical efficacy of otic endoscopic myringoplasty with autogenous abdominal fat for repair of central perforation of tympanic nembrane.Methods The clinical data on 64 patients (68 ears) who had undergone myringoplasty with autogenous adipose tissue were retrospectively analyzed.All the patients were followed up for 3 to 6 months.Six months after surgery,detection of pure tone was re-performed to assess the efficacy.Results Tympanic membrane was entirely healed in 63 ears and partially healed in 4 ears which were completely healed after repaired by fresh egg films; one ear was not healed,with a primary cure rate of 92.6％.Conclusions Otic endoscopy has a clear visual field and is simple and easier to use.Otic endoscopic myringoplasty with autogenous abdominal fat for repair of central perforation of tympanic membrane is efficacious and worth popularizing in basic-level hospitals.