脂肪组织压片修补中大型鼓膜穿孔52例临床报告
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1.陕西省眉县人民医院耳鼻咽喉头颈外科 陕西宝鸡;2.西安交通大学第二附属医院耳鼻咽喉头颈外科 陕西西安

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The efficacy of myringoplasty using pressed fat-patch for type medium-large tympanic membrane perforation 52 cases report
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1.Department of Otolaryngology,the People,s Hospital of Mei County,Baoji;2.Department of Otolaryngology Head and Neck Surgery,The Second Affiliated Hospital of Xi,an Jiaotong University

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    摘要:

    目的 探讨耳内镜下自体耳后皮下脂肪组织压片修补中大型鼓膜穿孔的临床疗效。

    Abstract:

    Objective To investigate the clinical efficacy of the myringoplasty using pressed fat-patch for type medium-large tympanic membrane perforation. Methods 52 cases (52 ears) with type medium-large tympanic membrane perforation repaired by pressed fat-patch under otoendoscopy were analyzed retrospectively, and the healing of tympanic membrane perforation as well as the improvement of hearing were investigated. Results All patients were followed up for 6 ~ 12 months, Without the complication with adverse consequences. 49 cases were completely cured among 52 cases. The total cure rate was 94.2%(49/52) and the mean audiometric threshold of patients improved by 14.7±3.1dB. Among them, the cure rate of 31 traumatic perforation ears was 96.8% (30/31), and the mean audiometric threshold improved by 14.3±1.6dB; the cure rate of 21 ears suffered from chronic otitis was 90.5% (19/21), and mean audiometric threshold improved by 15.4±4.4dB. Conclusion The myringoplasty using pressed fat-patch for type medium-large membrane perforation has reliable clinical curative effect. This procedure is superior to fat impaction method and other tympanic membrane repair materials.

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  • 收稿日期:2021-08-03
  • 最后修改日期:2021-10-19
  • 录用日期:2021-10-28
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