鼓室成形术影响听力疗效相关因素分析  

Related variance analysis on auditory effects of tympanoplasty

作　　者：蒋立新[1] 练兵[1] 马玉坤[1] 焦粤龙[1] 

机构地区：[1]暨南大学附属第一医院耳鼻咽喉头颈外科,广东广州510630

出　　处：《中国耳鼻咽喉头颈外科》2006年第8期539-542,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨鼓室成形术听力疗效的相关影响因素。方法报告118例(126耳)鼓室成形术,对可能影响听力疗效的16项因素进行分析。结果病程短、病变轻、术前有较大骨气导间距、咽鼓管通畅、术中保留锤骨柄、选取适当术式以及术后完好鼓膜状态则听力效果较好,10项单因素经统计学分析均有显著性意义(P＜0.05)。结论鼓室成形术听力疗效受多种因素影响,主要与病变程度及手术方法有关。OBJECTIVE To study the relative factors affecting auditory effects after tympanoplasty. METHODS 118 cases （126 ears） of tympanoplasty were reported,16 factors that might influence auditory effects were analysed. RESULTS There were 10 in 16 factors affecting auditory effects after tympanoplasty, including course ,the degree of pathological changes, air-bone gap, function of eustanchian tube, remaining handle of malleus, the type of surgery ,condition of tympanic mambrane after operation and so on. The results of single-variance analysis had statistical differences （P〈0.05）. CONCLUSION Auditory effects after tympanoplasty were influenced by a series of factors, the major factors were the degree of pathological change and type of surgery.

关 键 词：中耳炎 鼓室成形术 听力 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]