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目的:探讨腭裂修复术同期等离子鼓膜打孔对伴分泌性中耳炎患儿听力及鼓室压的影响。方法:将56例腭裂伴分泌性中耳炎患儿随机分为观察组和对照组。对照组行单纯腭裂修复术;观察组行腭裂修复术同期等离子鼓膜打孔术,孔径2~3mm,在耳显微镜或耳内镜下观察鼓室积液的黏稠度,决定孔径大小。结果:与单纯行腭裂修复术相比,腭裂修复术同期等离子鼓膜打孔后孔可保持6~8周,6个月后复查腭裂患者在听力恢复、鼓室压改善方面效果显著。结论:腭裂伴分泌性中耳炎患儿行腭裂修复术同期等离子鼓膜打孔在短期内可提高听力,改善鼓室负压,恢复中耳功能。
Objective: To investigate the effect of plasma membrane tympanotomy on hearing and tympanic pressure in children with secretory otitis media during the same period of cleft palate repair. Methods: 56 cases of cleft palate patients with secretory otitis media were randomly divided into observation group and control group. The control group was treated with simple cleft palate repair. The observation group was treated with plasma membrane tympanoplasty during the same period of cleft palate repair. The diameter of the tympanic cavity was 2 ~ 3 mm. Results: Compared with simple cleft palate repair, the posterior orifice of plasma membrane tympanoplasty can be maintained for 6 to 8 weeks after cleft palate repair. The patients with cleft palate after 6 months review have significant effect on hearing recovery and tympanic pressure. Conclusions: Plasma membrane tympanic membrane perforation during the same period of cleft palate repair in children with cleft palate and secretory otitis media can improve hearing, improve tympanic pressure and restore middle ear function in short term.