中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
Chinese Journal of the Frontiers of Medical Science (Electronic Version)
2015年
9期
53-55
,共3页
慢性化脓性中耳炎%自体听骨%人工听骨%听骨链重建术
慢性化膿性中耳炎%自體聽骨%人工聽骨%聽骨鏈重建術
만성화농성중이염%자체은골%인공은골%은골련중건술
Chronic suppurative otitis media%Autologous ossicular%Artiifcial ossicular%Ossicular chain reconstruction
目的：观察比较自体听骨与人工听骨植入治疗慢性化脓性中耳炎的临床效果，为临床治疗提供参考。方法选取于本院行听骨链重建术的慢性化脓性中耳炎患者83例为研究对象，按平行随机分组方法将其分为自体组（自体听骨植入，41例）和人工组（人工听骨植入，42例），比较两组患者术腔愈合时间、干耳发生率、气/骨导听力变化情况、术后不良反应发生率及复发情况。结果两组患者术腔愈合时间和干耳发生率比较无显著差异（P＞0.05）。自体组患者气导听阈值下降幅度大于人工组（P＜0.05），气导提高20 dB以上耳数多于人工组（P＜0.05），骨导提高率高于人工组（P＜0.05），不良反应发生率和复发率均低于人工组（P＜0.05）。结论自体听骨植入可以明显改善慢性化脓性中耳炎患者的听力，且不良反应发生率及复发率低，临床疗效优于人工听骨植入。
目的：觀察比較自體聽骨與人工聽骨植入治療慢性化膿性中耳炎的臨床效果，為臨床治療提供參攷。方法選取于本院行聽骨鏈重建術的慢性化膿性中耳炎患者83例為研究對象，按平行隨機分組方法將其分為自體組（自體聽骨植入，41例）和人工組（人工聽骨植入，42例），比較兩組患者術腔愈閤時間、榦耳髮生率、氣/骨導聽力變化情況、術後不良反應髮生率及複髮情況。結果兩組患者術腔愈閤時間和榦耳髮生率比較無顯著差異（P＞0.05）。自體組患者氣導聽閾值下降幅度大于人工組（P＜0.05），氣導提高20 dB以上耳數多于人工組（P＜0.05），骨導提高率高于人工組（P＜0.05），不良反應髮生率和複髮率均低于人工組（P＜0.05）。結論自體聽骨植入可以明顯改善慢性化膿性中耳炎患者的聽力，且不良反應髮生率及複髮率低，臨床療效優于人工聽骨植入。
목적：관찰비교자체은골여인공은골식입치료만성화농성중이염적림상효과，위림상치료제공삼고。방법선취우본원행은골련중건술적만성화농성중이염환자83례위연구대상，안평행수궤분조방법장기분위자체조（자체은골식입，41례）화인공조（인공은골식입，42례），비교량조환자술강유합시간、간이발생솔、기/골도은력변화정황、술후불량반응발생솔급복발정황。결과량조환자술강유합시간화간이발생솔비교무현저차이（P＞0.05）。자체조환자기도은역치하강폭도대우인공조（P＜0.05），기도제고20 dB이상이수다우인공조（P＜0.05），골도제고솔고우인공조（P＜0.05），불량반응발생솔화복발솔균저우인공조（P＜0.05）。결론자체은골식입가이명현개선만성화농성중이염환자적은력，차불량반응발생솔급복발솔저，림상료효우우인공은골식입。
ObjectiveTo compare the clinical effect of autologous ossicular and artiifcial ossicular in the treatment of chronic suppurative otitis media and provide reference for clinical treatment.Method83 cases of ossicular chain reconstruction patients with chronic suppurative otitis media in our hospital were selected as research objects and were divided into autologous group (autologous ossicular implantation, 41 cases) and artiifcial group (artiifcial ossicular implantation, 42 cases). The cavity healing time, incidence of dry ear, gas/bone conduction hearing, postoperative adverse reactions and recurrence of the two groups were compared. ResultThe cavity healing time and incidence of dry ear of the two groups had no signiifcantly differences (P>0.05). The falling range of air conduction audibility threshold value of autologous group was higher than artiifcial group (P<0.05). Ear number of gas conductivity increased by more than 20 dB in autologous group were more than artiifcial group (P<0.05), bone conduction increase rate was higher than artiifcial group (P<0.05), the incidence of adverse reactions and the recurrence rate were lower than artiifcial group (P<0.05).ConclusionAutologous ossicular implanting has better effect on improving hearing of patients with chronic suppurative otitis media and incidence of adverse reactions is low. The clinical curative effect is superior to the artiifcial ossicular implantation.
