[内窥镜中耳手术后意外再次手术的原因和管理策略]
[Causes and management strategies for unplanned reoperation after endoscopic middle ear surgery].
摘要(中文译文)
回顾性分析2018年1月至2025年5月于福建中医药大学附属人民医院接受非计划再次手术的24例患者（25耳）的临床资料，年龄（42.4±13.5）岁，其中男12例、女12例。再次手术的主要原因包括鼓膜粘连/肉芽增生（68.0%，17/25）、人工听骨移位/脱位（32.0%，8/25）、鼓膜再穿孔（32.0%，8/25）及胆脂瘤复发（28.0%，7/25）。再次手术后各频率气骨导差均显著减小（<0.001）。通过保留正常鼓膜黏膜、使用防粘连材料、采用三明治法修复鼓膜、植入带Ω形底板的全型人工听骨以及彻底清除胆脂瘤上皮等防治策略，可降低再次手术率。
Abstract
The clinical data of 24 patients (25 ears) aged (42.4±13.5) years who underwent unplanned reoperation in the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine between January 2018 and May 2025 were retrospectively analyzed, including 12 males and 12 females. The main reasons for the reoperation were tympanic adhesion/granulation hyperplasia (68.0%, 17/25), displacement/dislocation of artificial ossicles (32.0%, 8/25), reperforation of tympanic membrane (32.0%, 8/25), and recurrence of cholesteatoma (28.0%, 7/25). The air-bone conductance differences at each frequency were significantly reduced after the reoperation (<0.001). The reoperation rate can be reduced by preserving the normal tympanic membrane mucosa, using anti-adhesion materials, repairing the tympanic membrane with the sandwich method, implanting the complete type artificial ossicle with the Ω-shaped base plate, and thoroughly removing the cholesteatoma epithelium, and other preventive and therapeutic strategies.
如何引用
AMA
F Zhou, Z L Wang, Y M Li, X Chen. [Causes and management strategies for unplanned reoperation after endoscopic middle ear surgery].. Zhonghua yi xue za zhi. 2026; doi:10.3760/cma.j.cn112137-20250914-02389.
APA
F Zhou, Z L Wang, Y M Li, X Chen (2026). [Causes and management strategies for unplanned reoperation after endoscopic middle ear surgery].. Zhonghua yi xue za zhi. https://doi.org/10.3760/cma.j.cn112137-20250914-02389
GB/T 7714
F Zhou, Z L Wang, Y M Li, X Chen. [Causes and management strategies for unplanned reoperation after endoscopic middle ear surgery].[J]. Zhonghua yi xue za zhi, 2026 doi:10.3760/cma.j.cn112137-20250914-02389.
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