武警医学
武警醫學
무경의학
Medical Journal of the Chinese People's Armed Police Forces
2015年
11期
1137-1140
,共4页
慢性化脓性中耳炎%咽鼓管功能障碍%完壁式鼓室成形%耳显微手术
慢性化膿性中耳炎%嚥鼓管功能障礙%完壁式鼓室成形%耳顯微手術
만성화농성중이염%인고관공능장애%완벽식고실성형%이현미수술
Chronic suppurative otitis media%Eustachian dysfunction%Intact canal wall mastoidectomy%Otomicrosurgery
目的：探讨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的效果。方法总结分析我科2008-06～2013-10对87例（耳）活动期慢性化脓性中耳炎咽鼓管功能障碍患者行完壁式乳突根治一期鼓室成形手术病例中资料完整的70例，随访1年，对术后鼓膜愈合率、听力恢复情况进行分析。结果68例鼓膜愈合，成功率97．14％（68／70），无移植物外移、钝角愈合、鼓膜萎缩、胆脂瘤形成、感音神经聋及外耳道真菌感染；术前平均气导听阈值为（42．7±4．6） dB，骨气导差为（27．5±3．1）dB，术后平均气导听阈值为（30．3±5．3）dB，骨气导差为（15．1±3．0）dB，听力较术前明显提高（P＜0．01），其中53例骨气导差＜20 dB，占77．94％。结论慢性活动期化脓性中耳炎咽鼓管功能障碍只要手术处理得当和术后治疗的跟进，可以获得良好的效果，有临床推广价值。
目的：探討慢性活動期化膿性中耳炎嚥鼓管功能障礙一期鼓室成形術的效果。方法總結分析我科2008-06～2013-10對87例（耳）活動期慢性化膿性中耳炎嚥鼓管功能障礙患者行完壁式乳突根治一期鼓室成形手術病例中資料完整的70例，隨訪1年，對術後鼓膜愈閤率、聽力恢複情況進行分析。結果68例鼓膜愈閤，成功率97．14％（68／70），無移植物外移、鈍角愈閤、鼓膜萎縮、膽脂瘤形成、感音神經聾及外耳道真菌感染；術前平均氣導聽閾值為（42．7±4．6） dB，骨氣導差為（27．5±3．1）dB，術後平均氣導聽閾值為（30．3±5．3）dB，骨氣導差為（15．1±3．0）dB，聽力較術前明顯提高（P＜0．01），其中53例骨氣導差＜20 dB，佔77．94％。結論慢性活動期化膿性中耳炎嚥鼓管功能障礙隻要手術處理得噹和術後治療的跟進，可以穫得良好的效果，有臨床推廣價值。
목적：탐토만성활동기화농성중이염인고관공능장애일기고실성형술적효과。방법총결분석아과2008-06～2013-10대87례（이）활동기만성화농성중이염인고관공능장애환자행완벽식유돌근치일기고실성형수술병례중자료완정적70례，수방1년，대술후고막유합솔、은력회복정황진행분석。결과68례고막유합，성공솔97．14％（68／70），무이식물외이、둔각유합、고막위축、담지류형성、감음신경롱급외이도진균감염；술전평균기도은역치위（42．7±4．6） dB，골기도차위（27．5±3．1）dB，술후평균기도은역치위（30．3±5．3）dB，골기도차위（15．1±3．0）dB，은력교술전명현제고（P＜0．01），기중53례골기도차＜20 dB，점77．94％。결론만성활동기화농성중이염인고관공능장애지요수술처리득당화술후치료적근진，가이획득량호적효과，유림상추엄개치。
Objective To investigate the effect of phase Ⅰtympanoplasty on active chronic suppurative otitis media with Eu-stachian tube dysfunction.Methods 70 patients with complete data from 87 patients( ears) who suffered from active chronic suppura-tive otitis media with Eustachian dysfunction were recruited and received the intact canal wall mastoidectomy and phaseⅠtympanoplas-ty in this department from June 2008 to October 2013.They were followed up for one year, and their healing rates of the eardrum and hearing restoration were analyzed.Results 68 cases had eardrum healing, with a success rate of 97.14 %(68/70).There was no graft shift, obtuse healing, atrophic eardrums, cholesteatoma formation, sensorineural hearing loss or fungal infections in external audi-tory canals.The preoperative average hearing level of air conduction was (42.7 ±4.6)dB, and the average gap between bone conduc-tion and air conduction was (27.5 ±3.1) dB.The postoperative average hearing level of air conduction was (30.3 ±5.3)dB, and the average gap between bone conduction and air conduction was (15.1 ±3.0)dB, which was significantly improved (P<0.01), in which 53 cases with less than 20 dB gap between bone conduction and air conduction, the rate was 77.94%.Conclusions Active chronic suppurative otitis media with Eustachian dysfunction undergoing effective surgery and postoperative treatment can achieve good results and worth popularizing in clinic.
