中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
12期
22-23
,共2页
鼓膜穿孔%鼓膜修补术
鼓膜穿孔%鼓膜脩補術
고막천공%고막수보술
Tympanic membrane perforation%Myringoplasty
目的 探讨双瓣法鼓膜修补术的临床治疗效果.方法 选择95例(112耳)鼓膜修补术患者,48例(54耳)采用双瓣法鼓膜修补术(双瓣法组),47例(58耳)采用内植法鼓膜修补术(内植法组),测定术前及术后6个月气导、气骨导差,比较两组临床疗效.结果 双瓣法组成功率为96.3％ (52/54),内植法组为91.4％(53/58),两组比较差异无统计学意义(P＞0.05).双瓣法组有效率为92.6％ (50/54),内植法组有效率为77.6％ (45/58),两组比较差异有统计学意义(P＜ 0.01).结论 双瓣法鼓膜修补术治疗鼓膜大穿孔能较好成型鼓膜并提高听力,有很好的临床效果,手术操作较简单,值得推广.
目的 探討雙瓣法鼓膜脩補術的臨床治療效果.方法 選擇95例(112耳)鼓膜脩補術患者,48例(54耳)採用雙瓣法鼓膜脩補術(雙瓣法組),47例(58耳)採用內植法鼓膜脩補術(內植法組),測定術前及術後6箇月氣導、氣骨導差,比較兩組臨床療效.結果 雙瓣法組成功率為96.3％ (52/54),內植法組為91.4％(53/58),兩組比較差異無統計學意義(P＞0.05).雙瓣法組有效率為92.6％ (50/54),內植法組有效率為77.6％ (45/58),兩組比較差異有統計學意義(P＜ 0.01).結論 雙瓣法鼓膜脩補術治療鼓膜大穿孔能較好成型鼓膜併提高聽力,有很好的臨床效果,手術操作較簡單,值得推廣.
목적 탐토쌍판법고막수보술적림상치료효과.방법 선택95례(112이)고막수보술환자,48례(54이)채용쌍판법고막수보술(쌍판법조),47례(58이)채용내식법고막수보술(내식법조),측정술전급술후6개월기도、기골도차,비교량조림상료효.결과 쌍판법조성공솔위96.3％ (52/54),내식법조위91.4％(53/58),량조비교차이무통계학의의(P＞0.05).쌍판법조유효솔위92.6％ (50/54),내식법조유효솔위77.6％ (45/58),량조비교차이유통계학의의(P＜ 0.01).결론 쌍판법고막수보술치료고막대천공능교호성형고막병제고은력,유흔호적림상효과,수술조작교간단,치득추엄.
Objective To investigate the clinical effect of myringoplasty with double flaps in treatment of large tympanic membrane perforaton.Methods Ninety-five patients (112 ears) with large tympanic membrane perforation were enrolled in this study,48 patients (54 ears) were performed myringoplasty with double flaps (double flaps method group) and 50 patients (58 ears) were performed myringoplasty with underlay method (underlay method group).The air conduction (AC) and air bone gap (ABG) were measured before operation and 6 months after operation.The clinical efficacy of two groups was compared.Results The successful rate in double flaps method group was 96.3％ (52/54) and 91.4％ (53/58) in underlay method group,there was no significant difference (P ＞0.05).The effective rate in double flaps method group was 92.6％ (50/54) and 77.6％ (45/58) in underlay method group,there was significant difference (P ＜ 0.01).Conclusions Myringoplasty with double flaps in treatment of large tympanic membrane perforation can effectively mould tympanic membrane and improve hearing.The operation is worthy of spreading.
