慢性活动期化脓性中耳炎咽鼓管功能障碍一期鼓室成形术后鼓膜愈合率及听力恢复情况分析  

Analysis of tympanic membrane healing and hearing recovery after primary tympanoplasty of chronic suppurative otitis media with eustachian tube dysfunction

作　　者：汪祖益 张瑜 WANG Zu -yi;ZHANG Yu(Department of Otolaryngology Head and Neck Surgery,Kai Zhou District People＇s Hospital,Chongqing 405400,China)

机构地区：[1]重庆市开州区人民医院耳鼻咽喉头颈外科,重庆405400

出　　处：《临床和实验医学杂志》2018年第16期1764-1766,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的分析慢性活动期化脓性中耳炎咽鼓管功能障碍一期鼓室成形术后鼓膜愈合率及听力恢复情况。方法采用整群随机抽样的方法选取2016年2月至2018年2月重庆市开州区人民医院收治的慢性活动期化脓性中耳炎咽鼓管功能障碍患者80例,对其临床资料进行回顾性分析,将这些患者作为咽鼓管功能障碍组,另选取同期重庆市开州区人民医院收治的慢性活动期化脓性中耳炎咽鼓管功能良好患者80例作为咽鼓管功能良好组,两组患者均接受一期鼓室成形术治疗,对两组患者的气导听阈值、气骨导差、鼓膜愈合、听力改善情况、术后并发症发生情况进行统计分析。结果咽鼓管功能障碍组手术前的气导听阈值、气骨导差分别为(42.6±4.5)d B、(26.6±4.1)d B,手术后的气导听阈值、气骨导差分别为(30.2±5.2)d B、(17.0±3.7)d B;咽鼓管功能良好组患者手术前的气导听阈值、气骨导差分别为(36.2±4.7)d B、(22.3±4.1)d B,手术后的气导听阈值、气骨导差分别为(29.4±5.5)d B、(16.8±3.2)d B。两组患者手术后的气导听阈值、气骨导差均显著低于手术前(P<0.05);手术前咽鼓管功能障碍组患者的气导听阈值、气骨导差均显著高于咽鼓管功能良好组(P<0.05),但手术后两组患者的气导听阈值、气骨导差之间的差异均不显著(P>0.05)。两组患者的鼓膜愈合率[97.5%(78/80)vs.100.0%(80/80)]、听力改善率[72.5%(58/80)vs.75.0%(60/80)]之间比较,差异均无统计学意义(P>0.05)。两组患者的术后并发症发生率分别为3.8%(3/80)和1.3%(1/80),两组比较,差异无统计学意义(P>0.05)。结论慢性活动期化脓性中耳炎咽鼓管功能障碍一期鼓室成形术后鼓膜愈合率高,听力恢复好。Objective To analyze the healing rate of tympanic membrane and hearing recovery after the first stage tympanoplasty of chronic active suppurative otitis media with eustachian tube dysfunction. Methods Eighty cases of patients with chronic suppurative active from otitis media with eustachian tube dysfunction from February 2016 to February 2018 in Kai Zhou District People＇s Hospital were selected randomly,the clinical data were retrospectively analyzed,these patients were regarded as eustachian tube dysfunction group,another 80 cases of patients with chronic suppurative otitis media function in our hospital during the same period were selected as eustachian tube group,the two groups received tympanoplasty treatment,the air conduction thresholds and air bone gap,tympanic membrane healing,hearing improvement and incidences of postoperative complications of the two groups were statistically analyzed. Results The air conduction threshold and bone conductivity of the eustachian tube dysfunction group were（ 42. 6 ± 4. 5） d B and（ 26. 6 ± 4. 7） d B respectively. The air conduction threshold and gas conductance difference were（ 30. 2 ± 5. 2） d B and（ 17 ± 3. 7） d B respectively after the operation,and the air conduction threshold and the gas conductivity difference were（ 36. 2 ± 4. 7）,（ 22. 3 ± 4. 1） d B,before the eustachian tube function group,and the air conduction threshold and air bone conduction difference after operation were（ 29. 4 ± 5. 5） d B and（ 16. 8 ± 3. 2） d B respectively. The air conduction hearing threshold,air bone gap of the two groups after operation were significantly lower than before operation（ P〈0. 05）. The air conduction hearing threshold,air bone gap before operation of the eustachian tube dysfunction group were significantly higher than those of the eustachian tube function group（ P〈0. 05）,but the differences of air conduction hearing threshold,air bone gap after operation between the two groups were not significant（ P〉0. 05）. The differ

关 键 词：慢性活动期化脓性中耳炎 咽鼓管功能障碍 一期鼓室成形术 鼓膜愈合率 听力恢复情况 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]