慢性化脓性中耳炎手术治疗的临床研究  

Chronic suppurative otitis media of surgical treatment of clinical research

作　　者：冯云[1] 

机构地区：[1]新疆维吾尔自治区昌吉州人民医院耳鼻喉科,新疆昌吉831100

出　　处：《医药前沿》2015年第2期79-80,共2页Journal of Frontiers of Medicine

摘　　要：目的：重点探索手术治疗慢性化脓性中耳炎的有效性及安全性。方法：挑选的研究对象是2011年02月01日至2014年02月01日在我院接受治疗的89例慢性化脓性中耳炎患者，根据疾病类型选择不同的手术方式，42例患者接受改良乳突根治术，47例患者接受开放式鼓室成形术，对比两种手术方法对慢性化脓性中耳炎患者的影响。结果：改良乳突根治术组的优良率达到95．24%。开放式鼓室成形术组的优良率达到97．87％。两组慢性化脓性中耳炎患者的手术效果没有明显差异（P〉0．05）。改良乳突根治术组的并发症发生率为9．52％。开放式鼓室成形术组的并发症发生率为12．76％。两组慢性化脓性中耳炎患者的并发症发生率没有明显差异（P〉0．05）。结论：开放式鼓室成形术或者改良乳突根治术治疗慢性化脓性中耳炎的疗效良好，根据患者的鼓膜穿孔部位采取合适的手术方法进行治疗的效果更为明显。Objective The key to explore the effectiveness of surgical treatment for chronic suppurative otitis media and security. Methods The researclr object is 01, 02, 2011-01, 02, 2014 in our hospital treated 89 cases of patients with chronic suppurative otitis media, in 42 patients improved, 47 patients accepting open tympanoplasty. Results The improvement of mastoidotympanectomy group was 95.24%. The rate of good, open tympanoplasty group reached 97.87%. Two groups of patients with chronic suppurative otitis media operation effect was no significant difference （P 〉 0.05）. Improved mastoidotympanectomy group the incidence of complications was 9.52%. The incidences of complications to open tympanoplasty was 12.76%. Two groups of patients with chronic suppurative otitis media the incidence of complications was no significant difference （P 〉 0.05）. Conclusion Modified mastoidotympanectomy open tympanoplasty or treatment the curative effect of chronic suppurative otitis media is good, on the tympanic membrane perforation position of patients take appropriate surgical method to treat the effect is more apparent.

关 键 词：慢性化脓性中耳炎 改良乳突根治术 开放式鼓室成形术 类型 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]