单侧听力耳中耳炎手术经验再探讨

发布时间：2018-09-08 11:33

【摘要】：目的探讨单侧听力耳中耳炎(包括胆脂瘤)患者施行手术治疗的效果及经验。方法回顾性分析2000年5月~2013年1月期间手术治疗的13例单侧听力耳中耳炎患者的手术和随访资料,并与2000年前的15例患者(以下称"前组")结果比较。结果随访6~156个月,平均(84.55±56.84)个月。随访结束时13例均为干耳。术后气骨导差(GAP)、气导(AC)较术前降低,差异有统计学意义(P0.01)。手术有效率为92.31%(12/13),其中成功11例(84.62%),包括GAP10 d B HL 4例;11~20 d B HL7例;其余2例中,1例有效,1例听力无变化。术前、术后骨导(BC)差异无统计学意义(P0.05)。术后GAP差值20 d B HL者10例(76.92%),30 d B HL者4例(30.77%),而"前组"分别为6例(40.00%)和2例(13.33%),较"前组"有所提高。结论单侧听力耳中耳炎手术能获得安全和有效的结果,患者生活质量提高。
[Abstract]:Objective to investigate the effect and experience of surgical treatment for unilateral otitis media (including cholesteatoma). Methods the surgical and follow-up data of 13 patients with unilateral otitis media were retrospectively analyzed from May 2000 to January 2013, and the results were compared with 15 cases before 2000 (referred to as "anterior group"). Results the follow-up period was 6 ~ 156 months with an average of (84.55 卤56.84) months. All 13 cases were dry ears at the end of follow-up. After operation, the air-bone conductance difference (GAP),) and air conduction (AC) were significantly lower than those before operation (P0. 01). The effective rate of operation was 92.31% (12 / 13), of which 11 cases (84.62%) were successful, including 4 cases of GAP10 d B HL with 1120 d B HL7, and 1 case of the other 2 cases with no change of hearing. There was no significant difference in (BC) of bone conduction before and after operation (P0.05). There were 10 cases (76.92%) with GAP difference of 20 d B HL (76.92%), 4 cases (30.77%) with 30 d B HL, while 6 cases (40.00%) and 2 cases (13.33%) with "anterior group". Conclusion the operation of unilateral otitis media is safe and effective, and the quality of life of the patients is improved.
【作者单位】：上海交通大学附属第一人民医院分院耳鼻喉科;
【分类号】：R764.92

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