开放式鼓室成形术35例治疗分析

The experience of 35 cases with open tympanoplasty treatment

目的:评价35例开放式乳突根治鼓室成形手术的治疗效果。方法:对35例行开放式鼓室成形术治疗的慢性中耳炎患者的手术方法及术后干耳率和听力改善情况进行回顾分析。结果:随访1～2年,35耳全部干耳,无胆脂瘤复发,无眩晕和面瘫并发症。30例移植筋膜成活,4例鼓膜再穿孔,1例鼓膜瘢痕内陷。术后纯音测听语言频率气导平均听阈,提高25～30 dBHL5耳,提高15～20 dBHL 18耳,提高10 dBHL 8耳,无变化4耳。结论:对慢性中耳炎患者行开放式鼓室成形术,能根治病变,听力恢复效果好,复发率低,是一种较为实用的手术方法。

Objective： To investigate the effect of open tympanoplasty for patients with chronic otitis media of the middle ear. Methods：Thirty five ears with eholesteatoma were treated by open tympanoplasty. The rate of dry ear and hearing condition were analyzed retrospectively. Results： During a follow-up of one to two years, all had dry ears without relapse and vertigo or facial paralysis. Among them,30 cases had normal tympanic membranes,4 had reperforation, and 1 had a sunken tympanic membrane. Hearing was improved by 25 to 30 dBHL in 5 ears,15 to 20 dBHL in 18 ears,10 dBHL in 8 ears,and not improved in 4 ears. Conclnsions： Open tympanoplasty should be carried out in treating otitis media with cholesteatoma to improve the hearing and decrease relapse. It is a valuable surgery.