乳突根治术后不干耳的影响因素研究

发布时间：2018-07-10 11:58

本文选题：中耳炎 + 耳外科手术　；参考：《重庆医科大学》2013年硕士论文

【摘要】：目的:探讨与乳突根治术后不干耳相关的术前影响因素，以便临床工作参考使用。方法:回顾性分析2008年1月-2012年1月期间，在重庆医科大学附属第二医院耳鼻咽喉头颈外科接受改良乳突根治术治疗的慢性化脓性中耳炎患者共90例。通过查阅病历及随访资料，调取研究对象的年龄、病程、性别、药物过敏史，吸烟史、中耳炎类型、鼻咽部炎症情况以及致病菌共8个可能影响因素，分析比较并应用多自变量Logistic回归分析评估各因素对乳突根治术后不干耳的影响。结果:共90例患者纳入研究，总体年龄介于7-74岁，总体病程介于8个月-62年，男：女=42:48。其中干耳组共80例，不干耳组共10例，总体不干耳发生率为11.1%。在年龄因素组、病程因素组、性别因素组、药物过敏史因素组及鼻咽部炎症因素组中，对比组之间的差异无显著性。在吸烟史因素组中，吸烟患者不干耳发生率为28.00%，无吸烟史患者不干耳发生率为4.61%，对比组之间的差异有显著性（P=0.002，，OR=7.638）。在中耳炎类型因素组中，表皮样瘤型中耳炎患者不干耳发病率为4.25%，骨疡型中耳炎患者不干耳发病率为18.60%，对比组之间的差异有显著性（P=0.030，OR=7.937）。在致病菌因素组中，真菌感染致中耳炎患者不干耳发病率为40.00%，一般细菌感染致中耳炎患者不干耳发病率为5.33%，对比组之间的差异有显著性（P=0.000，OR=10.637）。结论:吸烟患者、骨疡型中耳炎患者以及真菌感染患者发生乳突根治术后不干耳的危险性相对较高，为改善手术预后，需充分做好相关围手术期准备。
[Abstract]:Objective : To investigate the pre - operative influence factors associated with non - dry ear after radical operation for clinical reference .

Methods : From January 2008 to January 2012 , 90 patients with chronic suppurative otitis media were treated with modified mastocarcinoma at the Second Affiliated Hospital of Chongqing Medical University . The age , duration , sex , drug allergy history , smoking history , otitis media type , nasal cavity inflammation and pathogenic bacteria were analyzed and compared .

Results : A total of 90 patients were enrolled in the study , the overall age ranged from 7 to 74 years , the overall course ranged from 8 months to 62 years , male : female = 42 : 48 . There were 80 cases in the dry ear group , 10 cases in the non - dry ear group , and the total dry ear incidence was 11.1 % . In the age factor group , the incidence rate of the non - dry ears in the smoking patients was 28.00 % , the incidence rate of the non - dry ears in the non - smoking history group was 4.61 % , and the difference between the comparison groups was significant ( P = 0.002 , OR = 7.638 ) . In the group of otitis media type , the incidence of non - dry ears in patients with otitis media was 4.25 % and 18.60 % in patients with otitis media , and there was significant difference between the comparison groups ( P = 0.030 , OR = 7.937 ) . In the group of pathogenic factors , the incidence of non - dry ears in patients with otitis media caused by fungal infection was 40.00 % , and the incidence of non - dry ears in patients with otitis media caused by bacterial infection was 5.33 % , and there was significant difference between the comparison groups ( P = 0.000 , OR = 10.637 ) .

Conclusion : The risk of non - dry ear after radical operation in patients with cigarette smoking , bone - selective otitis media and fungal infection is relatively high . In order to improve the prognosis of operation , it is necessary to prepare the relevant perioperative period .
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R765.9

【参考文献】