改良完壁式乳突切除术及鼓室成形术治疗慢性中耳乳突炎的疗效分析  

Efficacy of the treatment of chronic otitis media improved finished wall mastoidectomy and tympanoplasty

作　　者：孙海燕[1] 李翔宇[2] 王东海[2] 曾祥悦[1] 李玉环[1] 

机构地区：[1]唐山职业技术学院耳鼻喉科 [2]唐山市协和医院耳鼻喉科,河北唐山063000

出　　处：《转化医学电子杂志》2014年第2期66-68,共3页E-Journal of Translational Medicine

摘　　要：目的：分析改良完壁式乳突切除术及鼓室成形术治疗慢性中耳乳突炎的疗效．方法：从2011-05／2013-05，于我院共有110例病患被诊断为慢性中耳乳突炎并需进行手术．以数字法随机分成观察组（55例）和对照组（55例）．观察组患者行改良完壁式乳突切除术及鼓室成形术进行治疗，对照组患者行常规完壁式乳突切除术及鼓室成形术治疗．结果：观察组疗效为优者占比58．18％（32／55），优良率为90．25％（50／55），均显著高于对照组．差异均有统计学意义（P〈0．05）．观察组的气导平均听阈为（30．03±3．56）dBHL，骨导平均听阈（22．67±0．45）dBHL，均显著少于对照组的（38．85±4．57）dBHL，（28．85±2．47）dBHL．差异均有统计学意义（P〈0．05）．结论：改良完壁式乳突切除术及鼓室成形术对于治疗慢性中耳乳突炎效果更加显著，对于患处病灶清除更加彻底，患者听力得到很大程度提高，耳内更加干燥，值得临床广泛推荐．AIM： To analyze the effects of the improvement fin- ished wall mastoidectomy in tympanoplasty treatment of chronic o- titis media. METHODS ： From May 2011 to May 2013, there were 110 cases in our hospital diagnosed with chronic otitis media and needing surgery. All cases were digitally randomly divided in- to observation group （55 cases） and control group （55 cases）. The patients in observation group underwent modified finished wall mastoidectomy and tympanoplasty for treatment, the control group underwent routine finished wall mastoidectomy and tympanoplas- ty. RESULTS： In the observation group, excellently treated pa- tients accounting for 58.18% （32/55）, good and excellent rate at 90. 25% （50/55）, were significantly higher than control groups. Differences were statistically significant （P 〈 0.05 ）. The average air conduction hearing threshold observation group was （30.03 ±3.56） dB HL, while bone conduction heating threshold was （22.67 ± 0.45 ） dB HL, were significantly less than the con- trol group [（38.85 ±4.57） dB HL, （28.85 ±2.47） dB HL]. Differences were statistically significant （P 〈 0.05 ）. CONCLU- SION： Improved finished wall mastoidectomy and tympanoplasty for the treatment of chronic otitis media effect more significantly, more thoroughly in eliminating debridement for the affected area. The patients＇ hearing is greatly improved, while drying the ear, therefore, it is widely recommended in clinical practice.

关 键 词：改良完壁式乳突切除术 鼓室成形术 慢性中耳乳突炎 疗效分析 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]