贴补法治疗鼓膜外伤性大穿孔临床观察

External patching for large perforation of tympanic membrane by tissue

关键词:  鼓膜穿孔  贴补法  外伤

Key words:  perforation of tympanic membrane  patching  trauma

摘要:

［目的］探讨外伤性鼓膜大穿孔的贴补治疗效果和最佳贴补材料。［方法］收集穿孔大于鼓膜20％的外伤性鼓膜大穿孔病例87例。其中，58例接受贴补治疗，作为治疗组；其余29例未接受贴补治疗，作为对照组。将二组病人进行临床比较。贴补材料选用擦镜纸。［结果］穿孔愈合情况比较，治疗组愈合53例，愈合率91.4％，对照组愈合例数18例，愈合率62.0％，差异有显著意义（P＜0.05）；平均愈合时间比较：治疗组21 d，对照组35 d，差异有显著意义（P＜0.01）。中耳感染情况比较，治疗组中耳感染例数7例，感染率12.1％，对照组感染例数5例，感染率17.2％，差异没有显著意义（P＞0.05）。［结论］外伤性鼓膜大穿孔可以采取早期贴补治疗缩短穿孔愈合时间，提高穿孔愈合率；擦镜纸作为贴补材料效果好、无刺激性，取材方便、经济实惠。

Abstract:

［Objective］To explore the effect and patching material for large perforation of tympanic membrane. ［Methods］Collected 87 cases with perforation large than 20% of the tympanic membrane, a group of 58 cases received external patching for perforations, the other group of 29 cases didn't receive external patching, compared the two groups. The material of patching is disc of tissue for scope.［Results］The patched group, 53 of 58 cases are recovered, the rate is 91.4%, the average time is 21 days, 7 of 58 cases were suffered from inflammation, the rate is 12.1%.The non-patched group, 18 of 29 cases are recovered, the rate is 62.0%, the average time is 35 days, 5 of 29 cases were suffered inflammation, the rate is 17.2%.［Conclusion］External patching for large perforation of tympanic membrane by tissue is a good measure, it can help recovering and lessening the patient's conductive hearing loss and occasional tinnitus. The tissue for scope is suitable material for patching.