不同乳突根治术联合鼓室成形术治疗慢性化脓性中耳炎的临床效果对比
Comparison on the Clinical Effects of Different Radical Mastoidectomy Combined with Tympanoplasty in the Treatment of Chronic Suppurative Otitis Media
陈曦 1汪永宽 1李泓磊 1杨飞1
作者信息
- 1. 四川省德阳市人民医院耳鼻咽喉头颈外科,四川德阳 618000
- 折叠
摘要
目的 探讨不同乳突根治术联合鼓室成形术治疗慢性化脓性中耳炎的临床效果.方法 86例慢性化脓性中耳炎患者根据手术方法的不同分为两组.完壁组采用完壁式乳突根治术联合鼓室成形术治疗,开放组采用开放式乳突改良根治术联合鼓室成形术治疗.比较两组的术后恢复情况、复发率及听力阈值.结果 术后,两组的鼓膜愈合情况比较,差异无统计学意义(P＞0.05);完壁组的干耳时间短于开放组,复发率高于开放组(P＜0.05).术后6个月,两组的500、1 000、2 000 Hz听力阈值比较,差异无统计学意义(P＞0.05);完壁组的4 000 Hz听力阈值低于开放组(P＜0.05).结论 与开放式乳突改良根治术联合鼓室成形术相比,完壁式乳突根治术联合鼓室成形术对慢性化脓性中耳炎患者高频听力的重建效果更佳,术后干耳更快,但复发率较高.
Abstract
Objective To compare the clinical effects of different radical mastoidectomy combined with tympanoplasty in the treatment of chronic suppurative otitis media.Methods 86 patients with chronic suppurative otitis media were divided into two groups according to the different surgical methods.The complete wall group was treated with complete wall radical mastoidectomy combined with tympanoplasty,and the open group was treated with open modified radical mastoidectomy combined with tympanoplasty.The postoperative recovery,recurrence rate and hearing threshold were compared between the two groups.Results After surgery,no significant difference was found in tympanic membrane healing between the two groups(P＞0.05),while the dry ear time of the complete wall group was shorter than that of the open group,and the recurrence rate was higher than that of the open group(P＜0.05).At 6 months after surgery,no significant difference was found in the hearing thresholds of 500,1 000 and 2 000 Hz between the two groups(P＞0.05),while the 4 000 Hz hearing threshold of the complete wall group was lower than that of the open group(P＜0.05).Conclusions Compared with open modified radical mastoidectomy combined with tympanoplasty,complete wall radical mastoidectomy combined with tympanoplasty has better reconstruction effect on high frequency hearing and faster postoperative dry ear in patients with chronic suppurative otitis media,but the recurrence rate is higher.
关键词
完壁式乳突根治术/鼓室成形术/慢性化脓性中耳炎Key words
Complete wall radical mastoidectomy/Tympanoplasty/Chronic suppurative otitis media引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据