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骨粉在开放式改良乳突根治术术腔处理中的应用

王珍,  王艺贝,  陈晓巍

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文章导航 > 协和医学杂志  > 2014 >  5(3): 323-326
王珍, 王艺贝, 陈晓巍. 骨粉在开放式改良乳突根治术术腔处理中的应用[J]. 协和医学杂志, 2014, 5(3): 323-326. doi: 10.3969/j.issn.1674-9081.2014.03.015
引用本文: 王珍, 王艺贝, 陈晓巍. 骨粉在开放式改良乳突根治术术腔处理中的应用[J]. 协和医学杂志, 2014, 5(3): 323-326. doi: 10.3969/j.issn.1674-9081.2014.03.015
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Zhen WANG, Yi-bei WANG, Xiao-wei CHEN. Bone Pate for Mastoid Obliteration after Canal Wall Down Mastoidectomy[J]. Medical Journal of Peking Union Medical College Hospital, 2014, 5(3): 323-326. doi: 10.3969/j.issn.1674-9081.2014.03.015
Citation: Zhen WANG, Yi-bei WANG, Xiao-wei CHEN. Bone Pate for Mastoid Obliteration after Canal Wall Down Mastoidectomy[J]. Medical Journal of Peking Union Medical College Hospital, 2014, 5(3): 323-326. doi: 10.3969/j.issn.1674-9081.2014.03.015
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骨粉在开放式改良乳突根治术术腔处理中的应用

doi: 10.3969/j.issn.1674-9081.2014.03.015

  • 中国医学科学院 北京协和医学院 北京协和医院耳鼻喉科, 北京 100730

详细信息
    通讯作者:

    陈晓巍 电话:010-69156311, E-mail:chenxw_pumch@163.com

  • 中图分类号: R764.9

Bone Pate for Mastoid Obliteration after Canal Wall Down Mastoidectomy

  • Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information

    摘要
  • 摘要:   目的  探讨骨粉填塞用于开放式改良乳突根治术的可行性和临床疗效。  方法  回顾性分析北京协和医院2013年10月至2014年2月收治的12例因慢性化脓性中耳炎行开放式改良乳突根治术并采用骨粉行乳突腔填塞患者的临床资料。观察术后鼓膜和乳突腔形态, 并对术腔完全上皮化时间和术后听力改善情况进行统计学分析。  结果  12例患者均干耳; 手术后鼓膜形态接近正常, 乳突腔体积明显缩小; 完全上皮化时间平均29.9 d。8例行人工听骨听力重建患者平均听力提高(11.7±1.8)dB, 听力重建效果好。  结论  开放式改良乳突根治术术腔采用骨粉填塞法简便易行, 术腔表面光滑, 愈合时间缩短, 鼓膜形态良好, 听力重建效果佳。
    Abstract:   Objective  To investigate the clinical outcome of bone pate for mastoid obliteration after canal wall down mastoidectomy.  Methods  The clinical data of 12 patients who had undergone canal wall down mastoidectomy followed by bone pate obliteration in Peking Union Medical College Hospital from October 2013 to February 2014 were retrospectively analyzed. The post-operative morphologies of tympanic membranes and mastoid cavities were observed, and the complete reepithelialization time and improvement of hearing were analyzed.  Results  The mastoid cavities were completely reepithelialized in all 12 patients. The morphologies of tympanic membranes were nearly normal. The volumes of mastoid cavities were significantly reduced. The mean time of complete reepithelialization was 29.9 days. The air-bone gap value increased by (11.7±1.8) dB after the operation in 8 patients who had undergone hearing reconstruction.  Conclusions  Mastoid obliteration with bone pate after canal wall down mastoidectomy is a simple and convenient procedure that can easily make the mastoid cavity be well-shaped and reepithelialized, shorten the healing time, and achieve good hearing outcome.
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  • 图  1  完成乳突根治术后，行人工听骨听力重建，以骨粉重建上鼓室外侧壁并填塞乳突腔

    白箭头：钛制人工听骨；黑箭头：乳突腔表面以骨粉填塞

    下载: 全尺寸图片 幻灯片

    图  2  以颞肌筋膜修复鼓膜并覆盖乳突腔

    白箭头：修复的鼓膜；黑箭头：骨粉表面以颞肌筋膜覆盖

    下载: 全尺寸图片 幻灯片
    • 参考文献(21)
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  • 收稿日期:  2014-03-04
  • 刊出日期:  2014-07-30

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