腭裂修复术同期鼓室置管的疗效及并发症防治

华西口腔医学杂志

腭裂修复术同期鼓室置管的疗效及并发症防治

郑谦,徐慧芬,何勇,王,石冰,廖小宜,徐丽蓉,郑艳

610041　四川大学华西口腔医学院口腔颌面外科教研室(郑　谦,徐慧芬,何　勇,王　,石　冰,廖小宜),四川大学华西医院耳鼻喉科(徐丽蓉,郑　艳)

收稿日期:2003-02-25 修回日期:2003-02-25 出版日期:2003-02-20 发布日期:2003-02-20

Effects of Tympanotomy and Pressure Equilibrium Tube Insertion during Palatoplasty on Prognoses of Otitis Media with Effusion

ZHENG Qian*,　XUHuifeng,　HE Yong,et al.

*Department ofOral andMaxillofacialSurgery,West China College ofStoma- tology,Sichuan University,Chengdu610041,China

Received:2003-02-25 Revised:2003-02-25 Online:2003-02-20 Published:2003-02-20

摘要/Abstract

摘要：

目的　探讨腭裂伴渗出性中耳炎患儿的联合治疗。方法　比较38例(49侧耳)单纯性腭裂修复术与24 例(39侧耳)腭裂修复同期行鼓膜切开、PE管置入术对中耳积液的消除及听力的影响,并对置管术的适应证、操作要点、并发症的防治进行讨论。结果　腭裂修复同期鼓膜切开置管组术后6月48·7%的患耳中耳积液消失,明显高于单纯腭裂修复组。听力损害的患儿置管后听力平均提高17 dB。结论　有中耳积液的腭裂患儿在腭裂修复术同期行鼓室切开、PE管置入术,有助于改善患儿的中耳功能。

关键词: 腭裂, 渗出性中耳炎, 腭裂修复术, 鼓膜置管术

Abstract:

Objective　The aim of this study was to investigate the effects of the tympanotomy and pressure equilibrium tube insertion during palatoplasty on the alleviation of otitis media with effusion.Methods　A total of 49 ears in 38 cases of patients with cleft palate and otitis media with effusion were only treated with palatoplasty. Other 39 ears in 24 patients with middle ear effusion were treatedwith the palatoplasty and insertion of pressure equilibriumtubes. The function of the middle ear in each patientwas eval- uated 6 months after the operation.Results　48.7% of ears with middle ear effusion were healed in the group of the palatoplasty combined with pressure equilibrium tube insertion, and the hearing level was raised about 17dB six months after operation.Conclu- sion　The pressure equilibrium tube insertion is helpful for the recovery of the middle ear function in patients with cleft palate and middle media effusion.

Key words: cleft palate, otitis media with effusion, palatoplasty, insertion of pressure equilibrium tube

郑谦,徐慧芬,何勇,王,石冰,廖小宜,徐丽蓉,郑艳. 腭裂修复术同期鼓室置管的疗效及并发症防治[J]. 华西口腔医学杂志.

ZHENG Qian*,　XUHuifeng,　HE Yong,et al.. Effects of Tympanotomy and Pressure Equilibrium Tube Insertion during Palatoplasty on Prognoses of Otitis Media with Effusion[J]. West China Journal of Stomatology.

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