保留低位骨桥开放式乳突根治并鼓室成形术治疗44例中耳炎患者的对照研究

发布时间：2018-03-07 05:13

本文选题：KOBT　切入点：中耳炎　出处：《中国医药指南》2016年30期 　论文类型：期刊论文

【摘要】：目的分析、探讨保留低位骨桥开放式乳突根治并鼓室成型术(KOPT)对于肉芽性、胆脂瘤性中耳炎的临床治疗价值。方法将我科采取KOBT方案治疗的44例中耳炎病例根据其患病类型分为A组(26例,患有胆脂瘤中耳炎)和B组(18例,患肉芽性中耳炎),对比观察两组的临床手术指标、疗效。结果术后6个月,两组患者的听力水平均有显著改善,且两组的术后干耳时间、气骨导差缩减值、听力评分增加值间无差异统计意义(P0.05)。结论 KOBT术式可彻底清除中耳炎患者在鼓窦、鼓室、乳突等部位的病灶,从而获得干耳、抗炎止脓、防止复发、显著改善听力水平,且该术式对于肉芽性、胆脂瘤性中耳炎均具有理想的手术效果及良好的适用性,在临床中值得加以推广、实践。
[Abstract]:Objective to investigate the granulation effect of open mastoidectomy and tympanoplasty with preservation of low bone bridge. Methods 44 cases of otitis media treated with KOBT regimen were divided into group A (n = 26) and group B (n = 18). Patients with granulomatous otitis media were treated with granulomatous otitis media. The clinical indexes and curative effects of the two groups were compared. Results 6 months after operation, the hearing level of the two groups was significantly improved, and the dry ear time and the air-bone conductance difference of the two groups were reduced. There was no statistical significance between the increased value of hearing score (P 0.05). Conclusion KOBT can completely remove the lesions in tympanic sinus, tympanic chamber and mastoid process of patients with otitis media, so as to obtain dry ear, prevent inflammation and abscess, prevent recurrence and improve hearing level significantly. The operative method has ideal operation effect and good applicability for granulation and cholesteatoma otitis media. It is worth popularizing and practicing in clinic.
【作者单位】：建湖县人民医院;
【分类号】：R764.9

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