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[中耳根治性手术后环钻腔覆盖状况的组织学评估]

[Histological evaluation of the condition of the trepanation cavity coating after radical surgery on the middle ear].

作者信息

Anikin I A, Bykova V P, Patiakina O K, Portenko E G

出版信息

Vestn Otorinolaringol. 1998(1):10-4.

PMID:9505524
Abstract

Tissue samples obtained intraoperatively from different parts of the middle ear in the course of the radical operation (35 cases) or reconstructive operations in patients with the history of surgical intervention on the ear (67 cases) were examined histologically. Fibrous-atrophic changes in the trepanation cavity coating correlated with the duration of the disease and the time since the radical operation. Pathomorphological and topographic profile of the changes in the operated ear coating copies relevant picture of otitis media purulenta chronica. The tympanomastoid cavity coating was characterized by increasing fibrous-atrophic changes reflecting regeneratory-plastic insufficiency of the epithelium and persistent tympanofibrosis in conditions of open trepanation cavity with disturbed anatomic relations in the middle ear.

摘要

对在根治性手术过程中从35例中耳不同部位获取的组织样本,以及有耳部手术史的67例患者在重建手术中获取的组织样本进行了组织学检查。环钻腔涂层的纤维萎缩性改变与疾病持续时间及根治性手术后的时间相关。手术耳涂层改变的病理形态学和局部解剖学特征与慢性化脓性中耳炎的相关表现相符。鼓室乳突腔涂层的特征是纤维萎缩性改变加剧,这反映了上皮的再生-塑形功能不全,以及在中耳解剖关系紊乱的开放环钻腔情况下持续存在的鼓室纤维化。

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