CAJ | 학술논문

目的探讨和研究开放式乳突根治术联合填塞术治疗慢性化脓性中耳炎的临床疗效。方法研究对象选取为2006年1月~2013年1月我院收治的100例慢性化脓性中耳炎患者,根据两组患者治疗方案的不同进行分组,对照组50例患者单纯采用开放式乳突根治术治疗,观察组50例则采用开放式乳突根治术联合填塞术治疗,治疗结束后对两组患者听力改善情况及复发情况进行统计对比。结果院治疗前观察组和对照组的气导听力分别为(34.3±8.2)dBHL和(35.1±8.1)dBHL,对比并无显著差异(跃0.05)；治疗后观察组和对照组的气导听力分别为(43.2±9.4) dBHL和(34.7±7.9)dBHL,观察组显著优于对照组(<0.05)；从复发情况来看,观察组复发2例,复发率4.0%,对照组复发6例,复发率12.0%,观察组显著优于对照组(<0.05)。结论开放式乳突根治术联合填塞术治疗慢性化脓性中耳炎的疗效显著,能够有效的改善患者的听力状况,减少复发,值得在临床上推广和应用。
목적탐토화연구개방식유돌근치술연합전새술치료만성화농성중이염적림상료효。방법연구대상선취위2006년1월~2013년1월아원수치적100례만성화농성중이염환자,근거량조환자치료방안적불동진행분조,대조조50례환자단순채용개방식유돌근치술치료,관찰조50례칙채용개방식유돌근치술연합전새술치료,치료결속후대량조환자은력개선정황급복발정황진행통계대비。결과원치료전관찰조화대조조적기도은력분별위(34.3±8.2)dBHL화(35.1±8.1)dBHL,대비병무현저차이(약0.05)；치료후관찰조화대조조적기도은력분별위(43.2±9.4) dBHL화(34.7±7.9)dBHL,관찰조현저우우대조조(<0.05)；종복발정황래간,관찰조복발2례,복발솔4.0%,대조조복발6례,복발솔12.0%,관찰조현저우우대조조(<0.05)。결론개방식유돌근치술연합전새술치료만성화농성중이염적료효현저,능구유효적개선환자적은력상황,감소복발,치득재림상상추엄화응용。
Objective To investigate the clinical ef ect and study of open mastoidectomy combined with tamponade in treatment of chronic suppurative otitis media.Methods The research object is 2010.1~2013.1 in our hospital 100 cases of chronic suppurative otitis media patients,two patients were grouped according to dif erent treatments,50 patients in the control group were treated only with open mastoidectomy,the observation group of 50 cases with open surgery combined with tamponade in treatment of mastoidectomy,the end of treatment the patients of the two groups after hearing improvement and relapse cases were compared with statistics.Results Before treatment,the observation group and the control group of air conduction hearing were (34.3±8.2)dBHL and (35.1±8.1)dBHL,significant dif erence compared to no( >0.05);after treatment,the observation group and the control group of air conduction hearing were (43.2±9.4)dBHL and (34.7±7.9)dBHL,the observation group was significantly bet er than the control group ( <0.05);from the recur ent situation,the observation group of 2 cases of recur ence,the recurrence rate was 4%,6 cases of control group relapsed,the relapse rate was 12%,the observation group was significantly bet er than the control group ( <0.05).Conclusion The ef icacy of radical mastoidectomy combined with tamponade in treatment of chronic suppurative otitis media were significant, which can ef ectively improve the hearing of the patients,reduce recur ence,is worthy of clinical popularization and application.