本文關(guān)鍵詞： 鼓室成形術(shù) 不干耳 中耳炎 化膿性　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年16期 　論文類型：期刊論文

【摘要】：目的:回顧性分析中耳炎不同感染狀態(tài)行保留乳突的鼓室成形術(shù)的臨床療效,評(píng)估保留乳突對(duì)鼓室成形術(shù)療效的影響。方法:將113例(113耳)慢性化膿性中耳炎行保留乳突的鼓室成形術(shù)患者分為感染耳組(72耳)和非感染耳組(41耳),所有患者術(shù)前顳骨CT顯示乳突及鼓竇區(qū)有炎性增生性病變,且術(shù)后隨訪超過1年。應(yīng)用SPSS統(tǒng)計(jì)軟件進(jìn)行療效分析。結(jié)果:92耳術(shù)后0.5~1個(gè)月干耳,術(shù)后3~6個(gè)月鼓室負(fù)壓逐漸消失。感染耳組術(shù)后干耳69耳(95.8%),術(shù)中見鼓室大量膿性分泌物4耳,術(shù)后均干耳;復(fù)發(fā)3耳,出現(xiàn)干性鼓膜小穿孔;氣骨導(dǎo)差≤20dB的有效耳為51.4%。非感染耳組術(shù)后干耳40耳(97.6%);復(fù)發(fā)1耳,2耳出現(xiàn)干性鼓膜小穿孔;氣骨導(dǎo)差≤20dB的有效耳為48.8%。隨訪中未見面癱、眩暈、鼓膜內(nèi)陷袋及膽脂瘤形成。結(jié)論:CT顯示乳突、鼓竇內(nèi)有炎性增生性病灶的慢性化膿性中耳炎患者,臨床觀察中耳處于不干耳的感染狀態(tài),可以選擇保留乳突的鼓室成形術(shù),術(shù)后復(fù)發(fā)率及聽力增益沒有差異。
[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，

本文編號(hào)：1531513