吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2001年
1期
37-38
,共2页
乳突根治术%预防措施
乳突根治術%預防措施
유돌근치술%예방조시
目的：探讨乳突根治术失败原因及预防措施。方法：对我科1974年～1998年间收治的54例乳突根治术失败患者的再次乳突手术所见进行分析，并行二次(或三、四次)乳突根治术。结果：术后1个月患者原有症状消失，干耳。结论：乳突根治术失败原因主要是术者中耳乳突解剖不熟，基本功不过硬，临床经验不足导致病灶残留和引流不畅及某些特殊情况所致。术中彻底去除病灶，保证术后引流通畅及特殊情况的处理，是防止二次手术的关键。
目的：探討乳突根治術失敗原因及預防措施。方法：對我科1974年～1998年間收治的54例乳突根治術失敗患者的再次乳突手術所見進行分析，併行二次(或三、四次)乳突根治術。結果：術後1箇月患者原有癥狀消失，榦耳。結論：乳突根治術失敗原因主要是術者中耳乳突解剖不熟，基本功不過硬，臨床經驗不足導緻病竈殘留和引流不暢及某些特殊情況所緻。術中徹底去除病竈，保證術後引流通暢及特殊情況的處理，是防止二次手術的關鍵。
목적：탐토유돌근치술실패원인급예방조시。방법：대아과1974년～1998년간수치적54례유돌근치술실패환자적재차유돌수술소견진행분석，병행이차(혹삼、사차)유돌근치술。결과：술후1개월환자원유증상소실，간이。결론：유돌근치술실패원인주요시술자중이유돌해부불숙，기본공불과경，림상경험불족도치병조잔류화인류불창급모사특수정황소치。술중철저거제병조，보증술후인류통창급특수정황적처리，시방지이차수술적관건。
Objective To explore the causes of failure of mastoidectomy and precautions.Method The operation findings of 54 cases who underwent revision mastoidectomy from 1974 to 1998 were analyzed for causes of failure of the primary procedures and revision mastoidectomy were performed by the authors.Results Original symptoms disappered,all cases achieved a dry ear after mastoidectomy 1 month.Conclusion Causes of failure of mastoidectomy include unfamiliarity with regional anatomy,absence of skill of surgeons,and clinical experiences.Each of these can result in residual cholesteatoma and inadequate drainage.Some exeptions can also result in reoperation.To resect the pathological changes tissue thoroughly,to remain a good drainage after operation,to manage some execptions are keys to prevent reoperation.
