慢性中耳炎术后听力改善的临床分析  

Hearing improvement in patients with chronic otitis media after surgical treatment

作　　者：潘耀平[1] 戴春富[1] 王正敏[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院耳鼻喉科,上海200031

出　　处：《中国眼耳鼻喉科杂志》2010年第3期144-147,共4页Chinese Journal of Ophthalmology and Otorhinolaryngology

基　　金：上海市科委创新计划(074119512);教育部新世纪优秀人才支持计划(NCET-06-0369)

摘　　要：目的观察慢性中耳炎(chronic otitis media,COM)患者术后听力改善情况,并探讨可能的影响因素。方法回顾分析经手术治疗的COM患者148例。术后随访1年。98例患者术中行听骨链重建,术中置入部分听骨赝复物(partial ossicular replacement prothesis,PORP)84例,置入全听骨赝复物(total ossicularre-placement prothesis,TORP)3例,置入自体软骨11例。结果术后置入PORP、TORP及自体软骨患者气骨导差小于20dB者分别占55.95%、54.5%和66.7%。假体听骨脱出率为1.1%。术前双侧中耳炎患者术后听力改善不及单侧中耳炎患者(P=0.048)。结论 COM手术治疗对于改善听力及预防中耳炎复发效果明显。置入假体听骨链时,推荐在鼓膜与假体听骨链间放置软骨。双侧COM患者术后应加强随访。Objective To investigate the hearing improvement fallowing surgical treatment in patients with cho- tonic otitis media. Methods One hundred and forty-eight cases of chronic otitis media were followed up retrospectively l year after surgery from March 2007 to May 2008. Ninety-eight of the cases were performed with ossicluar reconstruction, in which 84 cases were implanted PORP,3 cases TORP and II cases autocartilage. Results Air bone gaps for the above three types of ossicluar reconstruction were 55.95% ,54.5% and 66.7% respectively. The extrusion rate was estimated as 1.1%. A statistic significance of hearing result was found when comparing unilateral COM with bilateral COM （ P = 0.048 ）. Conclusions Surgery could improve hearing and prevent relapse obviously in patients with chronic otitis media. Cartilage was recommended to be placed between eardrum and the prosthesis. Follow-up should be emphasized in patients with bilateral chronic otitis media.

关 键 词：慢性中耳炎 听力 假体脱出 随访 

分 类 号：R764[医药卫生—耳鼻咽喉科]