CAJ | 학술논문

目的：探讨耳内镜下自体脂肪组织在外伤性鼓膜修补术中的临床应用。方法选取来宿州市皖北煤电集团总医院进行治疗的外伤性鼓膜穿孔患者49例，共计52患耳，所有患者均采用耳内镜下自体脂肪组织进行修补治疗。结果49例患者52患耳均顺利完成手术，所有患者均未发生术后并发症。小穿孔患者治愈率﹥中等穿孔患者治愈率﹥大穿孔患者治愈率，且组间比较差异有统计学意义（ P﹤0.05）。结论耳内镜下自体脂肪组织鼓膜修补术治疗外伤性鼓膜穿孔能够取得良好的临床疗效，尤其适用于鼓膜穿孔直径较小、中央型穿孔患者的治疗。
목적：탐토이내경하자체지방조직재외상성고막수보술중적림상응용。방법선취래숙주시환북매전집단총의원진행치료적외상성고막천공환자49례，공계52환이，소유환자균채용이내경하자체지방조직진행수보치료。결과49례환자52환이균순리완성수술，소유환자균미발생술후병발증。소천공환자치유솔﹥중등천공환자치유솔﹥대천공환자치유솔，차조간비교차이유통계학의의（ P﹤0.05）。결론이내경하자체지방조직고막수보술치료외상성고막천공능구취득량호적림상료효，우기괄용우고막천공직경교소、중앙형천공환자적치료。
Objective To investigate the clinical application value of ear endoscopic autologous fat tissue repairment of trau-matic tympanic membrane perforation. Methods Forty-nine cases of traumatic tympanic membrane perforation admitted in the general hospital of Wanbei coal and electricity group were chose,a total of 52 ears. All of the patients were given ear endoscopic autologous fat tissue repairment of traumatic tympanic membrane perforation. Results The 52 ears of 49 cases were successfully operated,and there were no postoperative complications. The cure rate from high to low in the order:patients with small perfora-tion﹥patients with middle perforation ﹥ patients with big perforation,and there were significant differences( P ﹤ 0. 05 ). Conclusion Ear endoscopic autologous fat tissue repairment of traumatic tympanic membrane perforation has good clinical cura-tive effect,and is especially suitable for the patients with small tympanic membrane perforation diameter and the patients with central type piercing.