本文選題：KOBT　切入點(diǎn)：中耳炎　出處：《中國(guó)醫(yī)藥指南》2016年30期 　論文類型：期刊論文

【摘要】：目的分析、探討保留低位骨橋開(kāi)放式乳突根治并鼓室成型術(shù)(KOPT)對(duì)于肉芽性、膽脂瘤性中耳炎的臨床治療價(jià)值。方法將我科采取KOBT方案治療的44例中耳炎病例根據(jù)其患病類型分為A組(26例,患有膽脂瘤中耳炎)和B組(18例,患肉芽性中耳炎),對(duì)比觀察兩組的臨床手術(shù)指標(biāo)、療效。結(jié)果術(shù)后6個(gè)月,兩組患者的聽(tīng)力水平均有顯著改善,且兩組的術(shù)后干耳時(shí)間、氣骨導(dǎo)差縮減值、聽(tīng)力評(píng)分增加值間無(wú)差異統(tǒng)計(jì)意義(P0.05)。結(jié)論 KOBT術(shù)式可徹底清除中耳炎患者在鼓竇、鼓室、乳突等部位的病灶,從而獲得干耳、抗炎止膿、防止復(fù)發(fā)、顯著改善聽(tīng)力水平,且該術(shù)式對(duì)于肉芽性、膽脂瘤性中耳炎均具有理想的手術(shù)效果及良好的適用性,在臨床中值得加以推廣、實(shí)踐。
[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.
【作者單位】： 建湖縣人民醫(yī)院;
【分類號(hào)】：R764.9

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