發(fā)布時(shí)間：2019-03-20 19:21

【摘要】：目的探索先天性中外耳畸形患者耳道再造與鼓室成形術(shù)后聽力改善情況,為此類患者方案選擇提供參考。方法回顧性分析2006年6月~2012年12月我們進(jìn)行外耳道再造與鼓室成形患者中有術(shù)前術(shù)后聽力的41例(41耳)的情況。結(jié)果手術(shù)采用聽骨鏈松解41.5%(17/41),Porp植入46.3%(19/41),Torp植入7.3%(3/41),內(nèi)耳開窗4.9%(2/41)。術(shù)前術(shù)后0.5k、1k、2k、4k平均氣導(dǎo)聽閾值分別為(58 d B/53d B),(64 d B/52d B),(73 d B/73d B),(62 d B/46d B).結(jié)論聽骨鏈松解與Torp植入術(shù)后聽力改善不明顯,Porp植入和內(nèi)耳開窗術(shù)后聽力有明顯改善,但未能達(dá)到正常聽閾水平。
[Abstract]:Objective to explore the hearing improvement after auditory canal reconstruction and tympanoplasty in patients with congenital external ear malformation. Methods from June 2006 to December 2012, 41 cases (41 ears) with pre-and post-operative hearing were retrospectively analyzed in our patients with external auditory canal reconstruction and tympanoplasty. Results the ossicular chain loosening was performed in 41.5% (17 / 41), Porp) of the patients (46.3%) (19 / 41), Torp) in 7.3% (3 / 41), and the inner ear was opened in 4.9% (2 / 41). The mean threshold values of air conduction were (58 d B), (53 d B), (64 d B d 52 d B), (73 d B), (62 d B D 46 d B).) before and after operation 0.5 k, 1 k, 2 k and 4 k, respectively. Conclusion there is no significant improvement in hearing after ossicular chain relaxation and Torp implantation, but there is significant improvement in hearing after Porp implantation and window opening in the inner ear, but the level of normal hearing threshold is not reached.
【作者單位】： 北京解放軍總醫(yī)院耳鼻咽喉-頭頸外科;
【基金】：國家自然基金專項(xiàng)基金項(xiàng)目(31340055,31140047) 解放軍總醫(yī)院專利轉(zhuǎn)化基金項(xiàng)目(42411D19) 解放軍總醫(yī)院苗圃基金項(xiàng)目(07MP24)聯(lián)合資助
【分類號】：R764.91

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1 鄒藝輝;王淑杰;薛峰;莊洪興;;皮瓣展平法在耳廓再造時(shí)擴(kuò)張皮瓣感染中的應(yīng)用[J];解放軍醫(yī)學(xué)雜志;2006年12期

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本文編號：2444549