感染中耳状态行保留乳突的鼓室成形术临床评价

发布时间：2018-02-24 19:56

  本文关键词： 鼓室成形术 不干耳 中耳炎 化脓性　出处：《临床耳鼻咽喉头颈外科杂志》2017年16期 　论文类型：期刊论文

【摘要】：目的:回顾性分析中耳炎不同感染状态行保留乳突的鼓室成形术的临床疗效,评估保留乳突对鼓室成形术疗效的影响。方法:将113例(113耳)慢性化脓性中耳炎行保留乳突的鼓室成形术患者分为感染耳组(72耳)和非感染耳组(41耳),所有患者术前颞骨CT显示乳突及鼓窦区有炎性增生性病变,且术后随访超过1年。应用SPSS统计软件进行疗效分析。结果:92耳术后0.5~1个月干耳,术后3~6个月鼓室负压逐渐消失。感染耳组术后干耳69耳(95.8%),术中见鼓室大量脓性分泌物4耳,术后均干耳;复发3耳,出现干性鼓膜小穿孔;气骨导差≤20dB的有效耳为51.4%。非感染耳组术后干耳40耳(97.6%);复发1耳,2耳出现干性鼓膜小穿孔;气骨导差≤20dB的有效耳为48.8%。随访中未见面瘫、眩晕、鼓膜内陷袋及胆脂瘤形成。结论:CT显示乳突、鼓窦内有炎性增生性病灶的慢性化脓性中耳炎患者,临床观察中耳处于不干耳的感染状态,可以选择保留乳突的鼓室成形术,术后复发率及听力增益没有差异。
[Abstract]:Objective: to retrospectively analyze the clinical effect of mastoid-preserving tympanoplasty in different infections of otitis media. To evaluate the effect of mastoid preservation on tympanoplasty. Methods: 113 patients with chronic suppurative otitis media undergoing mastoid-preserving tympanoplasty were divided into infected ear group (n = 72) and non-infected ear group (n = 41). Preoperative temporal bone CT revealed inflammatory proliferative lesions in mastoid and tympanic sinus areas. The follow-up was more than one year after operation. The curative effect was analyzed by SPSS software. Results the negative pressure of tympanic chamber gradually disappeared from 0.5 to 1 month after operation in 9 ears of infected ear group. In the infected ear group, 69 ears of dry ear and 95. 8% of dry ear, 4 ears of massive purulent secretion in tympanic chamber were found during operation. All dry ears, 3 recurrent ears with dry tympanic membrane perforation, 51.4 effective ears with air-bone conductance 鈮，

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