慢性化脓性中耳炎Ⅰ期听骨链重建389例分析

Synchronal ossicular chain reconstruct of chronic suppurative otitis media surgery (389 cases analyze)

目的 :探讨中耳炎手术 期听骨链重建的最佳材料和术式。方法 :回顾性分析 389例慢性化脓性中耳炎患者的听骨链重建手术所见及术后效果。结果 :大鼓室 型采用人工听骨者听力提高优于其它各种重建方法和重建材料 (P <0 .0 1)。重建砧镫关节者听力提高稍差于采用人工听骨的大鼓室 型 ,但明显优于其他重建方法和重建材料 (P <0 .0 1)。结论 :大鼓室 型采用人工听骨者听力提高优于其它各种重建方法和重建材料 ,利用自体听骨作赝复材料者均不如利用人工听骨效果好。

Objective:To discuss the best material and operation style of synchronal ossicular chain reconstruct for chronic suppurative otitis media patients.Method:Review and analyze the effect of ossicular chain reconstruct in 389 cases with chronic suppurative otitis media after surgery.Result:The result of hearing improve of macro tympanum Ⅲ mould of ossicular chain reconstruct with aritificial ossicle was better than other materials and operation types.The outcome of hearing improvement of incudostapedial joint reconstruct was better than the group of macrotympanum Ⅲ mould of ossicular chain reconstruct with aritificial ossicle.Conclusion:The result of hearing improvement of macro tympanum Ⅲ mould of ossicular chain reconstruct with aritificial ossicle was better than other material and operation types.The effect of aritificial ossicle better than self ossicle in ossicular chain reconstruct surgery.