CAJ | 학술논문

目的：探讨开放式鼓室成形术与乳突根治术治疗慢性化脓性中耳炎的临床效果情况。方法分析该院耳鼻喉科2010年10月-2015年1月收治的慢性化脓性中耳炎患者58例临床资料，依据治疗方式的不同进行临床分组，联合治疗组(乳突根治术+开放式鼓室成形术)29例和乳突根治术组29例。结果联合治疗组慢性化脓性中耳炎患者术后外耳道形状变化和临床疗效100%均优于乳突根治术组89.7%，差异有统计学意义(P<0.05)。结论开放式鼓室成形术联合乳突根治术治疗慢性化脓性中耳炎的临床效果明显，值得临床推广应用。
목적：탐토개방식고실성형술여유돌근치술치료만성화농성중이염적림상효과정황。방법분석해원이비후과2010년10월-2015년1월수치적만성화농성중이염환자58례림상자료，의거치료방식적불동진행림상분조，연합치료조(유돌근치술+개방식고실성형술)29례화유돌근치술조29례。결과연합치료조만성화농성중이염환자술후외이도형상변화화림상료효100%균우우유돌근치술조89.7%，차이유통계학의의(P<0.05)。결론개방식고실성형술연합유돌근치술치료만성화농성중이염적림상효과명현，치득림상추엄응용。
Objective To investigate the clinical result of treatment of chronic suppurative otitis media by open tympanoplasty and radical mastoidectomy. Methods The clinical data of 58 patients with chronic suppurative otitis media admitted in the Department of Otorhinolaryngology of our hospital duing October 2010 and January 2015 was analyzed and divided into the combined treat-ment group (n=29,open tympanoplasty and radical mastoidectomy) and radical mastoidectomy group (n=29) according to different treatment methods . Results The recovery rate of external auditory canal and clinical effect of the combined treatment group were 93.1%and 100%, which were superior to 10.3%and 89.7%of the radical mastoidectomy group, and the differences were statisti-cally significant, P<0.05. Conclusion The clinical result of treatment of chronic suppurative otitis media by open tympanoplasty and radical mastoidectomy is obvious, therefore it is worthy of promotion in clinic.