完壁式乳突根治并鼓室成形术治疗胆脂瘤型中耳炎的效果分析  

Effect analysis of wall radical mastoidectomy and tympanoplasty in treating cholesteatomatous tympanitis

作　　者：施芳[1] 

机构地区：[1]江西省安福县人民医院耳鼻咽喉科,江西安福343200

出　　处：《中国当代医药》2015年第35期103-105,共3页China Modern Medicine

基　　金：江西省吉安市科技计划任务

摘　　要：目的分析完壁式乳突根治并鼓室成形术治疗胆脂瘤型中耳炎的效果。方法将本院于2013年2月-2015年3月接收的60例胆脂瘤型中耳炎患者做为研究对象,以随机数字表法将其分成实验组和对照组,每组30例。对照组患者采取常规传统开放式手术进行治疗;实验组患者采取完壁式乳突根治并鼓室成形术治疗,观察比较两组患者手术成功情况、平均手术时间、术后听力恢复和并发症发生情况。结果实验组手术成功率（93.3%）高于对照组（80.0%）,术后并发症发生率（10.0%）低于对照组（26.7%）,术后患者听力恢复情况优于对照组,平均手术时间[（52.37±12.63）min]短于对照组[（75.69±13.26）min],组间数据比较,差异有统计学意义（P〈0.05）。结论完壁式乳突根治并鼓室成形术治疗胆脂瘤型中耳炎安全有效,恢复快且并发症少,具有临床应用和推广价值。Objective To study the effect of wall radical mastoidectomy and tympanoplasty in treating cholesteatomatous tympanitis. Methods 60 patients with cholesteatomatous tympanitis from February 2013 to March 2015 of our hospital were selected as study object.Patients were divided into experimental group and control group by random number table,and each group was 30 cases.Patients in control group were treated with conventional traditional open surgery.Patients in experimental group were treated with wall radical mastoidectomy and tympanoplasty in treating cholesteatomatous tympanitis.The operation situation,mean operation time,postoperative hearing restored and incidence of complications were observed and compared. Results The operation success rate of experimental group（93.3%） was higher than80.0% in control group,the postoperative complications incidence（10.0%） was lower than 26.7% in control group,postoperative hearing restored obvious was better than control group,mean operation time [（52.37 ±12.63）min] was shorter than [（75.69 ±13.26）min] in control group,with statistical difference between two groups（P〈0.05）. Conclusion In the clinical application of cholesteatomatous tympanitis,using wall radical mastoidectomy and tympanoplasty is safety,effective,recover fast and less complications.It has application and popularize value in clinic.

关 键 词：完壁式乳突根治并鼓室成形术 听力 胆脂瘤型中耳炎 

分 类 号：R764.92[医药卫生—耳鼻咽喉科]