慢性中耳炎手术方法的选择  

The choice of approach in chronic otitis media surgery

作　　者：张道行[1] 李玉洁[1] 田昊[1] 张岩昆[1] 丁秀勇[1] 

机构地区：[1]首都医科大学附属北京友谊医院耳鼻咽喉科,北京100050

出　　处：《中国耳鼻咽喉头颈外科》2006年第3期153-155,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨慢性中耳炎中耳乳突手术方式选择的依据。方法对160耳慢性中耳炎患者依据术前的高分辨CT(highresolutioncomputedtomography,HRCT)检查并参考听力学,分别选择了鼓室成形术、一期乳突病变切除加鼓室成形术。结果依据术前HRCT检查,中耳乳突未发现阴影31耳行鼓室成形术,中耳乳突部分有阴影49耳行乳突病变切除加鼓室成形术(完壁式),中耳乳突弥漫阴影或有骨破坏80耳行(开放式)乳突病变切除加鼓室成形术。术后干耳时间:7天～51天,平均23天。术后听力平均提高15dB。结论160例慢性中耳炎手术方法的选择,主要以术前的HRCT为参考依据。OBJECTIVE To investigate the choise of operation approach for chronic otitis media surgery. METHODS Auditory and high resolution computed tomography （HRCT） assessment were carried out prior to the operation in 160 ears with otitis media. Tympanoplasty or mastoidectomy and tympanoplasty were performed. RESULTS Thirty-one patients received tympanoplasty and 129 patients received mastoidectomy and tympanoplasty. Closed and opened surgery were performed in 49 and 80 cases respectively. The ear-drying time ranged from 7 to 51days with an average of 23 days. Mean hearing increased by 15dB. CONCLUSION Assessing the HRCT scan prior to the surgery can help us choose a reasonable approach in chronic otitis media surgery.

关 键 词：体层摄影术 X线计算机 鼓室成形术 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]