脱细胞真皮填塞开放式乳突根治术腔效果分析

Clinical Observation of Mastoid Obliteration with Acellular Dermal Matrix

谭志强;刘映辰;彭韬;肖欢;肖旭平;刘斌;

1:湖南省人民医院(湖南师范大学附属第一医院)耳鼻咽喉头颈外科

摘要
目的 探讨开放式乳突根治术中采用脱细胞真皮填塞乳突腔的安全性及术后干耳情况。方法 回顾性分析2015年1月~2020年1月湖南省人民医院耳鼻咽喉头颈外科收治并行手术治疗的78例中耳胆脂瘤患者的临床资料,所有患者均行开放式乳突根治术,术中使用脱细胞真皮填塞乳突术腔的患者38例为A组,未使用该方法的患者40例为B组,随访时间大于1年;对比两组干耳率、乳突上皮化时间及并发症情况。结果 术后干耳时间A组5~9周,B组8~12周;两组患者术后干耳率均达100%,A组乳突腔上皮化时间(6.63±0.94周)短于B组(9.97±1.36周)(t=-11.760,P<0.05),两组术后并发症发生率无明显差异(5.26%vs 5.00%,χ2=0.00,P>0.05)。结论 脱细胞真皮填塞开放式乳突根治术腔是安全的,有利于缩短术后乳突术腔的上皮化时间。
关键词
乳突根治术;开放式;干耳;中耳胆脂瘤
基金项目(Foundation):
国家自然科学青年项目(81800921);; 湖南省科技创新引导计划-临床医疗技术创新引导项目(2018SK50705)
作者
谭志强;刘映辰;彭韬;肖欢;肖旭平;刘斌;
参考文献

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