慢性中耳炎鼓室成形术后对耳鸣转归影响的研究  

To Explore the Influence Factors of Tinnitus after Tympanoplasty in Patients with Chronic Otitis Media

作　　者：雷磊[1] 王敏[1] 赵鑫[1] 张军[1] 

机构地区：[1]延安大学附属医院耳科,延安716000

出　　处：《中国听力语言康复科学杂志》2018年第1期14-17,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的探讨慢性中耳炎(chronic otitis media,COM)患者鼓室成形术后耳鸣转归的影响因素。方法回顾性分析60例于我院行I型鼓室成形术治疗的单侧术前有耳鸣的COM患者资料。分别于术前及术后6个月行纯音测听,利用耳鸣残疾量表(THI)和视觉模拟评分法(visval analogue scale,VAS)评价患者耳鸣转归情况。结果本组COM患者手术前后气/骨导平均听阈、气骨导间距(Air-bone gap,ABG)。Objective To explore the influence factors of tinnitus after tympanoplasty in patients with chronic otitis media. Methods A retrospective analysis of 60 patients with COM who had unilateral tinnitus preoperative was performed in the hospital.The patients were evaluated by using the tinnitus handicap inventory （THI） and the visval analogue scale （VAS） at preoperative and postoperative. Results This group of patients with COM gas/average bone conduction audibility threshold preoperation and postoperation, Air-bone gap （ABG） and THI score difference had significant statistical significance （P〈0.01）, VAS score had differences statistically significant （P〈0.05）; However, there was no correlation between preoperative ABG and VAS and THI score （P〉0.05）. Thepreoperative bone conduction threshold did not affect the return of tinnitus.There was no statistical difference between the postoperative VAS THI scores of patients with ABG〈15 dB patients after surgery （P〉0.05）, but the postoperative VAS and THI scores were significantly improved in patients with preoperative ABG 15 dB HL （P〈0.01）. Concluson It can be used to improve the hearing level and tinnitus symptoms of COM patients with tinnitus. The preoperative ABG can be used as an important factor to predict tinnitus of patients.

关 键 词：气骨导间距 慢性中耳炎 鼓室成形术 耳鸣 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]