CAJ | 학술논문

目的：探讨内窥镜下耳道途径改良夹层法修补鼓膜穿孔的临床效果，并介绍临床手术要点及技巧。方法回顾性分析笔者所在医院应用内窥镜下耳道途径改良夹层法修补鼓膜穿孔的61例（64耳）患者的病历资料。结果61例（64耳）患者随访6～24个月，术后无耳闷、耳鸣加重、眩晕、气骨导听力下降等。术后1-3个月内复查3耳再度穿孔，61耳穿孔修补成功，穿孔愈合率95.3%，修补成功病例术后6个月以上复查未见再穿孔、鼓膜内陷、粘连及前部钝角愈合情况，患者诉无听力下降等。术后3-6个月纯音测听示患者听力改善率达95.3%。结论适应证选取得当，内窥镜下耳道途径改良夹层法鼓膜穿孔修补术操作简单，损伤小，鼓膜愈合率高，听力改善较明显，值得临床推广。
목적：탐토내규경하이도도경개량협층법수보고막천공적림상효과，병개소림상수술요점급기교。방법회고성분석필자소재의원응용내규경하이도도경개량협층법수보고막천공적61례（64이）환자적병력자료。결과61례（64이）환자수방6～24개월，술후무이민、이명가중、현훈、기골도은력하강등。술후1-3개월내복사3이재도천공，61이천공수보성공，천공유합솔95.3%，수보성공병례술후6개월이상복사미견재천공、고막내함、점련급전부둔각유합정황，환자소무은력하강등。술후3-6개월순음측은시환자은력개선솔체95.3%。결론괄응증선취득당，내규경하이도도경개량협층법고막천공수보술조작간단，손상소，고막유합솔고，은력개선교명현，치득림상추엄。
Objecive To report efficacy of modified endoscopic myringoplasty via the auditory meatus. Methods Data from 61 eases (64 ears) of tympanic membrane perforation treated with modified endoscopic myringoplasty via the auditory me?atus in our hospital from October 2012 to September 2014 were retrospectively reviewed. Results Sixty-one ears (95.3%) showed no recurrence of perforation with improved hearing and no signs of other complications at follow up in 6 months. Con?clusions Modified endoscopic myringoplasty via the auditory meatus is simple and safe,convenient,less injury procedure and worthy of clinical promotion.