慢性中耳炎患者鼓室成形术前后耳鸣变化的临床研究  

A study of tinnitus in patients with chronic otitis media before and after tympanoplasty

作　　者：关宇磊 王延辉[2] 

机构地区：[1]西安航天总医院耳鼻咽喉头颈外科,陕西西安710003 [2]陕西西安市中心医院耳鼻咽喉头颈外科,陕西西安710003

出　　处：《宁夏医学杂志》2012年第5期446-448,共3页Ningxia Medical Journal

摘　　要：目的研究慢性中耳炎患者耳鸣的严重程度及耳鸣在鼓室成形术前后变化。方法对37例慢性中耳炎伴耳鸣患者术前及术后6个月进行纯音测听,并填写耳鸣评估量表(THI),进行耳鸣程度分级及疗效评估。结果 37例患者术前经纯音测听检查发现均存在传导性听力下降,术后6个月听力均有提高,手术前后THI评分差异有统计学意义;术后耳鸣较术前减轻,但听力提高与THI评分变化之间差异无统计学意义。结论对慢性中耳炎伴耳鸣的患者,手术治疗将是非常有发展潜力的提高听力及改善耳鸣的方法。Objective To investigate the progression of tinnitus in patients with chronic otitis media （COM）and to evaluate changes of tinnitus before and after tympanoplasty. Methods 37 patients with tinnitus due to COM who underwent tympanoplasty. They were underwent the audiological protocol and interviewed with THI（ tinnitus handicap inventory）before and after tympanoplasty and datawere analyzed. And the degree of tinnitus was ranked. Results All the patients had conductive hearing loss before surgery. There was a significant air - bone gap improvement in the postoperative at 6 months in relation to the preoperative time, and the THI value was also reduced significantly. However,the correlation between the changes in THI and hearing improvement was not significant. Conclusions For COM patients with tinnitus, surgery offers good control of tinnitus and restored hearing.

关 键 词：耳鸣 慢性中耳炎 鼓室成形术 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]