CAJ | 학술논문

目的：探讨胆脂瘤型中耳炎治疗中开放式鼓室成形术联合乳突根治术治疗的应用效果。方法采用回顾性方法，选取我院2011年6月～2012年12月收治的68例胆脂瘤型中耳炎患者的临床资料，分为对照组及观察组各34例。对照组予单纯乳突根治术治疗，观察组予开放式鼓室成形术辅以乳突根治术治疗，随访1.5年，观察两组手术有效率及其术后听力提高、并发症情况。结果观察组临床总有效率（94.12%）明显高于对照组（73.53%），差异有统计学意义（P<0.05）；对照组鼓膜愈合成活率、干耳率（73.53%、76.47%）明显低于观察组（91.18%、94.12%），差异有统计学意义（P<0.05）。结论采用乳突根治术联合开放式鼓室成形术治疗胆脂瘤中耳炎效果确切，能有效提高患者的听力，值得临床推广应用。
목적：탐토담지류형중이염치료중개방식고실성형술연합유돌근치술치료적응용효과。방법채용회고성방법，선취아원2011년6월～2012년12월수치적68례담지류형중이염환자적림상자료，분위대조조급관찰조각34례。대조조여단순유돌근치술치료，관찰조여개방식고실성형술보이유돌근치술치료，수방1.5년，관찰량조수술유효솔급기술후은력제고、병발증정황。결과관찰조림상총유효솔（94.12%）명현고우대조조（73.53%），차이유통계학의의（P<0.05）；대조조고막유합성활솔、간이솔（73.53%、76.47%）명현저우관찰조（91.18%、94.12%），차이유통계학의의（P<0.05）。결론채용유돌근치술연합개방식고실성형술치료담지류중이염효과학절，능유효제고환자적은력，치득림상추엄응용。
Objective To explore clinical efficacy of open tympanoplasty combined radical mastoidectomy in treatment of chronic otitis media with cholesteatoma. Methods Retrospectively analyzed the clinical data of 68 cases of cholesteatoma otitis media patients in our hospital from 2011 June to 2012 December ,and they were divided into con-trol group and observation group,each group 34 cases, the control group received simple mastoidectomy, the observa-tion group received the open-ended tympanoplasty with mastoidectomy treatment,follow-up of 1.5 years,the operation efficiency and improve the postoperative hearing, complications were compared. Results The observation group, the clinical total effective rate (94.12%) was significantly higher than that of the control group (73.53%), with statistical significance (P<0.05);The control group tympanic membrane healing rate of live,dry ear rate (73.53%, 76.47%) was signif-icantly lower than the observation group (91.18%,94.12%),the differences were statistically significant (P<0.05). Conclusion The radical mastoidectomy with tympanoplasty for cholesteatoma otitis media with the exact effect ,can effectively improve the patient's hearing,it is worthy of clinical application.