完壁式乳突切开鼓室成形术

发布时间：2018-02-27 16:02

本文关键词： 中耳炎完壁式乳突切开鼓室成形　出处：《中华耳科学杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的介绍完壁式乳突切开鼓室成形术治疗活动期慢性化脓性中耳炎的临床效果。方法回顾分析我院采用完壁式乳突切开鼓室成形术治疗的57例(耳)活动期慢性化脓性中耳炎的临床资料。结果48耳术后鼓膜一期愈合,5耳移植筋膜边缘残留裂隙,2-3周后延期愈合,4耳术后感染鼓膜穿孔未愈合;随访10个月至34个月,无复发病例,57耳的0.5、1.0、2.0、4.0k Hz气导听阈平均值由术前的49.7±9.4d BHL恢复到30.3±8.0 d BHL,气骨导差平均缩小15 d BHL,其中48耳听力有改善。结论采用完壁式乳突切开鼓室成形术治疗活动期慢性化脓性中耳炎,亦可有效清除中耳乳突病灶,重建中耳传导结构,且能保留耳部正常形态,提升患者听力及生活质量。
[Abstract]:Objective to introduce the clinical effect of tympanoplasty with wall mastoidectomy in the treatment of chronic suppurative otitis media in active stage. Methods 57 cases of active chronic otitis media treated by wall mastoidotomy tympanoplasty in our hospital were analyzed retrospectively. Results the primary healing of tympanic membrane in 48 ears and the residual fissure at the edge of the transplanted fascia in 5 ears were delayed for 2-3 weeks. The infection of tympanic membrane perforation was not healed in 4 ears after operation. They were followed up for 10 to 34 months. In 57 ears with no recurrence, the mean hearing threshold of 0.5-1.0 ~ 2.0 ~ 4.0 kHz was recovered from 49.7 卤9.4 d BHL to 30.3 卤8.0 d BHL.The air-bone conductance difference was reduced by 15 d on average, and hearing was improved in 48 ears. Conclusion the tympanoplasty with wall mastostomy can be used to treat the patients. Chronic suppurative otitis media, It can also effectively clear the middle ear mastoid lesions, reconstruct the conduction structure of the middle ear, preserve the normal shape of the ear, and improve the hearing and quality of life of the patients.
【作者单位】：广东省深圳市光明新区人民医院;
【基金】：深圳市卫生计生系统科研项目资助类项目;项目编号:201401100
【分类号】：R764.92

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