鼓室硬化患者自体砧骨或PORP重建听骨链的听力疗效分析

An Analysis of Hearing Outcomes in Tympanosclerosis Patients Who Underwent Ossicular Chain Reconstruction Using Autologous Incus or PORP

乔燕;宋勇莉;王海婷;陈俊;邱建华;查定军;陈阳;

1:空军军医大学西京医院耳鼻咽喉头颈外科

摘要
目的分析鼓室硬化患者在Ⅱ型鼓室成形术中采用自体砧骨或部分人工听骨(partial ossicular replacement prostheses,PORP)重建听骨链后的听力疗效。方法对106例累及听骨链的鼓室硬化患者在Ⅱ型鼓室成形术中分别采用自体砧骨(自体砧骨组,55例)或PORP(PORP组,51例)重建听骨链,随访1~22个月,比较两组500、1 000、2 000和4 000Hz各频率的气骨导差及平均气骨导差。结果自体砧骨组术后0.5~4kHz各频率听力均较术前显著提高,气骨导差显著减小;PORP组术后除4 000Hz外,其它频率听力亦较术前显著提高,气骨导差显著减小;两组间术前、术后各频率气骨导差及平均气骨导差比较差异均无统计学意义(P>0.05),听力提高的有效率比较差异也无统计学意义(P>0.05)。结论鼓室硬化患者Ⅱ型鼓室成形术中选择自体砧骨或PORP重建听骨链均可有效改善听力,且两种材料的效果相同,术后远期听力疗效还需随访研究。
关键词
鼓室硬化;听骨链重建;砧骨;部分人工听骨
基金项目(Foundation):
作者
乔燕;宋勇莉;王海婷;陈俊;邱建华;查定军;陈阳;
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