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[应用富含血小板生长因子的血浆后急性创伤性鼓膜穿孔的听力动态变化]

[Hearing dynamics in acute traumatic perforation of the tympanic membrane after application of blood plasma enriched with platelet growth factors].

作者信息

Gurov A V, Kryukov A I, Levina Ju V, Bakhtin A A, Dubovaya T K, Murzakhanova Z V

机构信息

N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Moscow, Russia.

L.I. Sverzhevsky Otorhinolaryngology Scientific Research Clinical Institute Moscow Health Department, Moscow, Russia.

出版信息

Vestn Otorinolaringol. 2021;86(4):23-30. doi: 10.17116/otorino20218604123.

Abstract

OBJECTIVE

The article considers the possibility of treating patients with acute traumatic perforation of the eardrum with a single application of blood plasma enriched with platelet-derived growth factors in the perforation area. As a result of the studies, it was found that the acceleration of its closure and the restoration of hearing.

MATERIAL AND METHODS

The study included 43 patients with unilateral acute PBP of various etiologies (Table 1). Patients were divided into 2 groups - the main - 24 patients (10 men and 14 women), the average age - 30±9.7 years and the control - 19 patients (9 men and 10 women), the average age - 26.5±6.37 years. The compared groups did not reliably differ in age, gender, frequency and severity of hearing impairment.

RESULTS

Analyzing the results, we can confidently talk about the beneficial effect of blood plasma enriched in platelet-derived growth factors on the speed, completeness of closure of traumatic perforation of the eardrum and the dynamics of restoration of auditory function. The use of blood plasma enriched with platelet growth factors led to a regular reduction in the time and increase in the frequency of cases of early closure of perforated eardrum, as well as improvement and restoration of auditory function according to the results of tonal threshold audiometry and otoacoustic emission in dynamics.

CONCLUSION

Being generally available even in outpatient practice, the method of a single application of blood plasma enriched with platelet growth factors in the area of perforation of the tympanic membrane can significantly accelerate the healing process of the tympanic membrane, while improving the quality of life of the patient.

摘要

目的

本文探讨在鼓膜穿孔区域单次应用富含血小板衍生生长因子的血浆治疗急性创伤性鼓膜穿孔患者的可能性。研究结果发现,这可加速鼓膜穿孔的闭合及听力恢复。

材料与方法

该研究纳入43例不同病因的单侧急性鼓膜穿孔患者(表1)。患者分为2组——主要组24例(男10例,女14例),平均年龄30±9.7岁;对照组19例(男9例,女10例),平均年龄26.5±6.37岁。比较的两组在年龄、性别、听力损害频率和严重程度方面无显著差异。

结果

分析结果可知,富含血小板衍生生长因子的血浆对鼓膜创伤性穿孔的闭合速度、完整性及听觉功能恢复动态具有有益作用。使用富含血小板生长因子的血浆可使穿孔鼓膜早期闭合的时间有规律地缩短,频率增加,同时根据音调阈值听力测定和耳声发射结果,听觉功能在动态上得到改善和恢复。

结论

即使在门诊实践中,在鼓膜穿孔区域单次应用富含血小板生长因子的血浆这一方法也普遍适用,可显著加速鼓膜愈合过程,同时提高患者生活质量。

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