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鼓膜修补的方法很多,用三氯醋酸烧灼修补鼓膜穿孔是其中的一种,适用于门诊病人,自1977~1990年共收集100例(118耳)鼓膜穿孔进行治疗,收到一定的效果,报告如下。临床资料对100例鼓膜穿孔进行了烧灼治疗。其中慢性化脓性中耳炎89例,外伤性穿孔11例。为了记载和了解愈合情况,将鼓膜穿孔分为三种情况:鼓膜大穿孔仅有鼓膜残边9耳,中等度穿孔直径在4~3mm73耳、小穿孔直径1~4mm18耳。穿孔均在紧张部。治疗结果:除4例失去联系,3例未治愈外。其余病例的穿孔全部愈合。其中1次烧灼穿孔愈合8例,10次烧灼穿孔愈合者60例,其余为10至20次才愈合。80%均有不同程度的听力提高。32%恢复了正常的听力,1例鼓膜穿孔愈合后遗有严重的耳呜。
Tympanic membrane repair many ways, with trichloroacetic acid repair tympanic membrane perforation is one of them, suitable for outpatients, from 1977 to 1990 a total of 100 cases (118 ears) tympanic membrane perforation for treatment, received a certain effect, the report as follows. Clinical data of 100 cases of tympanic membrane perforation was cauterization. Among them, 89 cases of chronic suppurative otitis media and 11 cases of traumatic perforation. In order to record and understand the healing situation, the tympanic membrane perforation is divided into three cases: tympanic membrane perforation only tympanic membrane 9 ears, the median perforated diameter of 4 ~ 3mm73 ears, small perforation diameter 1 ~ 4mm18 ears. Perforation are in tension. Treatment results: In addition to 4 cases lost contact, 3 cases were not cured. The remaining cases of perforation healed. Among them, 1 was cauterized and perforation healed in 8 cases, 10 cauterized perforation healed in 60 cases, and the rest 10 to 20 times healed. 80% have different degrees of hearing improvement. 32% returned to normal hearing, and 1 case had a severe auricle after healing of the tympanic membrane perforation.