开放/闭合式中耳乳突手术远期疗效分析  

Long-term Curative Effective analyse of Open Mastoidectomy With Tympanoplasty(OMT)and Combined Approach Tympanoplasty(CAT)

作　　者：刘阳[1] 孙建军[1] 钱进[1] 胡宁[1] 

机构地区：[1]海军总医院全军耳鼻喉科中心,北京100037

出　　处：《听力学及言语疾病杂志》2002年第2期87-88,共2页Journal of Audiology and Speech Pathology

摘　　要：目的　探讨慢性化脓性中耳乳突炎 (胆脂瘤或骨疡型 )手术方法及其治疗的远期疗效。方法　总结了 1990～ 1997年间经 3年以上随访的 113例乳突根治伴鼓室成形术病例 ,对比分析了开放式乳突根治鼓室成形术(Open -mastoidectomywithtympanoplasty ,OMT)与联合进路鼓室成形术 (combinedapproachtympanoplasly ,CAT)的优缺点及远期疗效。结果　OMT手术远期听力较术前听力气导提高 12dBHL ,CAT为 9.5dBHL ,提高幅度二者并无显著差别 ;从远期复发率看 ,OMT为 5 .8% ,CAT为 2 4 .4 % ,两者有显著差别。结论　就远期效果看本组病例OMT手术优于CAT手术。Objective To discuss the surgical interference of chronic suppurative otitis media and it's long-term results.Methods In 113 cases of mastoidectomy with tympanoplasty followed up for 3 years,We discuss the results of recurrence and hearing levle of the open-mastoidectomy with tympanoplasty(OMT)and combined approach tympanoplasty(CAT).Results There is no significant difference between OMT(improved 12 dB HL)and CAT(improved 9.5 dB HL)in the improved hearing threshold leve.The recurrence rate of OMT was 5.8%,but the CAT was 24.4%,the difference is significant.Conclusion The effect of OMT is better than that of CAT for the long-term resulls in these cases.

关 键 词：开放式乳突根治鼓室成形术 联合进路鼓室成形术 远期疗效 慢性化脓性中耳乳突炎 

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