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目的:对比耳内镜下颞肌筋膜与生物羊膜两种不同材料移植施行的鼓膜修补术的临床疗效进行比较分析。方法:选取施行鼓膜修补手术的病例83例87耳,随机分成对照组和实验组,对照组41例43耳,实验组42例44耳。对照组采用自体颞肌筋膜鼓膜修补术,实验组42例44耳,实验组采用生物羊膜移植鼓膜修补术,进行对比分析两组患者手术后的临床效果。结果:经鼓膜修补术后,实验组患者的有效率(93.02%)略低于对照组(95.45%),差异无统计学上意义(P>0.05),但实验组的手术全程时间短,手术中出血总量少于对照组,差异均有统计学意义(P<0.05)。结论:在耳内窥镜下施行的颞肌筋膜移植鼓膜修补手术的效果同生物羊膜移植鼓膜修补手术的治疗效果无差异,但是实验组手术时间缩短,术中出血量少,创伤小,术后恢复快,值得在临床上应用推广。
OBJECTIVE: To compare and analyze the clinical efficacy of tympanic membrane repair performed by transplanting the two different materials of temporal myofascial fascia and biological amniotic membrane under endoscope. Methods: 83 cases of tympanic membrane repair operations were selected and divided into control group and experimental group. The control group consisted of 41 ears and 42 ears and 44 ears. The control group was treated with autonomic temporal fascia tympanic membrane repair. The experimental group consisted of 42 cases and 44 ears. The experimental group was treated with the amniotic membrane transplantation of tympanic membrane, and the clinical effects of the two groups were compared. Results: The effective rate of the experimental group (93.02%) was slightly lower than that of the control group (95.45%) after tympanic membrane repair, the difference was not statistically significant (P> 0.05), but the operation time of the experimental group was short, The total amount of bleeding in the control group, the difference was statistically significant (P <0.05). Conclusion: The effect of temporal myofascial grafting under tympanic endoscopy was the same as that of biomechanical amniotic membrane tympanoplasty. However, the operation time of the experimental group was shortened, the intraoperative blood loss was less and the trauma was less. Fast recovery, it is worth in the clinical application of promotion.