摘要
目的探讨开放式鼓室成形术在胆脂瘤型中耳炎治疗中的应用效果。方法选择我院2009年10月至2010年12月收治的胆脂瘤型中耳炎患者70例作为研究对象,均采用开放式鼓室成形术治疗,观察该治疗方法的疗效及安全性。结果术后3个月干耳70例,干耳率为100%;术后6个月鼓膜生长良好67例,愈合率为95.7%。术后3个月、9个月测得患者的听力与治疗前比较均明显提高,且差异具有统计学意义(P<0.05)。术后患者出现眩晕1例,低调耳鸣2例,经对症处理后症状明显改善,无其他严重并发症发生。结论开放式鼓室成形术在胆脂瘤型中耳炎治疗中的应用效果满意,经过治疗患者听力明显提高,且无严重并发症发生,是一种安全、有效的治疗方案。
Objective To explore the application effect of open tympanoplasty in the treatment of chronic otitis media with cholesteatoma.Methods 70 cases of chronic otitis media with cholesteatoma from October 2009 to December 2010 in our hospital were selected as the objects of the study,they were treated with open tympanoplasty,and the treatment efficacy and safety were observed.Results After 3 months,dry ear in 70 cases,the dry ear rate was 100%;after 6 months,the tympanic membrane grew well in 67 cases,the healing rate was 95.7%.After 3 months and 9 months,the patient′s hearing were significantly improved,and the difference was statistically significant（P〈0.05）.Postoperative dizziness in 1 case,low-key tinnitus in 2 cases,which after symptomatic treatment were significantly improved,no other serious complications.Conclusion Open tympanoplasty in the treatment of chronic otitis media with cholesteatoma has satisfactory results,after treatment patients′ hearing are improved significantly,and no serious complications,thus is a safe and effective treatment.
出处
《医学综述》
2012年第12期1951-1952,共2页
Medical Recapitulate
关键词
胆脂瘤型中耳炎
开放式鼓室成形术
听力
并发症
Chronic otitis media with cholesteatoma
Open tympanoplasty
Hearing
Complications
