摘要
目的:探讨耳屏软骨-软骨膜复合体在Ⅰ型鼓室成形术中的应用效果。方法:选择2015年12月—2016年12月收治的行Ⅰ型鼓室成形术的患者53例,均实施耳屏软骨-软骨膜复合体移植治疗。统计临床干耳情况和移植物成活情况。术后随访6个月,统计不同时间患者的听力水平以及生活满意度水平。结果:术后进行随访,53例患者的干耳时间为(6.15±1.02)周。术后随访6个月,53例患者中,移植物成活51例,移植物成活率为96.23%。患者治疗后不同频率的听力水平与治疗前比较均得到显著改善(P<0.05)。术后6个月的生活满意度评分显著高于治疗前(P<0.05)。结论:Ⅰ型鼓室成形术中应用耳屏软骨-软骨膜复合体可以获得理想的干耳效果,移植物成活情况良好,且能够有效改善患者的听力水平。
Objective： To investigate the Tragus Cartilage perichondrium complex forming surgery in type Ⅰ tympanoplasty.Methods： All 53 cases were included in this study from December 2015 to 2016 year in December in hospital for type Ⅰ tympanoplasty were randomly selected,the implementation of tragus cartilage perichondrium composite transplantation. The clinical dry ear condition and the survival rate of the grafts were counted. The patients were followed up for 6 months. The hearing level and life satisfaction degree of the patients at different time were counted. Results： After the follow-up,the dry ear time was（ 6. 15± 1. 02） weeks. After a follow-up of 6 months,51 grafts were used in 53 patients,and the graft survival rate was 96. 23%.After hearing test,the hearing frequency of patients with different frequencies is different from that before treatment. It indicates that the postoperative hearing level of the patients has been significantly improved（ P 0. 05）. The evaluation of life satisfaction was carried out at 6 months before operation and months after operation. There were significant differences in the scores at different times,and the scores at 6 months after operation were significantly higher than those before treatment（ P 0. 05）.Conclusion： Type I tympanoplasty using the Tragus Cartilage perichondrium complex-surgery can obtain ideal effect of dry ear,graft survival in good condition,and can effectively improve the hearing level of patients.
出处
《临床医药实践》
2017年第12期897-899,共3页
Proceeding of Clinical Medicine
