开放式乳突根治伴鼓室成型术治疗胆脂瘤型和骨疡型中耳炎的疗效观察  

Evaluation of the curative effect of open mastoidectomy combined with tympanoplasty in the treatment of chronic suppurative otitis media

作　　者：胡春梅[1] 陈德珍[1] 

机构地区：[1]四川省医学科学院.四川省人民医院耳鼻喉科,四川成都610072

出　　处：《实用医院临床杂志》2013年第1期141-143,共3页Practical Journal of Clinical Medicine

摘　　要：目的观察开放式乳突根治术并同期鼓室成型术治疗胆脂瘤型和骨疡型中耳炎的疗效,探讨自体残余听小骨在彻底清除中耳病变后重建听力的效果。方法 60例患者行开放式乳突根治术并同期鼓室成型术,随访1～2年,判定疗效。结果术后干耳56例,纯音测听平均听阈提高20 db以上有19耳,提高10～19 dB有20耳,提高10 dB以内有17例;术后鼓膜穿孔5例,耳流脓4例,1例出现术后眩晕。干耳率93%,治愈率65%。结论乳突根治术能彻底清除病灶,控制感染,自体残余听骨是很好的鼓室成型材料;同期鼓室成形能有效提高听阈,改善生活质量。Objective The evaluate the therapeutic effects of open mastoidectomy combined with tympanoplasty in the treatment of chronic suppurative otitis media with cholesteatoma and/or granulation tissue. Methods Sixty patients suffered from chronic otitis media with cholesteatoma and/or granulation tissue were treated with combination of tympanoplasty and open mastoidectomy. The patients were followed-up for 1 to 2 years. Results After operation,56 of 60 cases had dry ears. The pure tone test showed that 19 ears have been improved more than 20 db,20 ears improved from 10 to 19 db and 17 ears improved less than 10 db. Five cases had perforation, and 4 cases had cholesteatoma. Conclusions The open mastoideetomy can completely remove the lesion and control the infection. The autologous residual auditory ossicles can be used in reconstruction of ossieular chain. The open mastoidectomy combined with tympanoplasty may improve the hearing level and life quality.

关 键 词：开放式乳突根治术 鼓室成形术 胆脂瘤型 骨疡型 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R764.92[医药卫生—临床医学]