结核性中耳乳突炎13例临床分析并文献复习

Thirteen cases with tuberculous otitis media and mastoiditis

目的:探讨结核性中耳乳突炎的临床特点及治疗方法。方法:回顾性分析13例结核性中耳乳突炎患者的临床资料。治疗方法采取单纯手术治疗1例,单纯抗结核治疗1例,手术结合抗结核治疗11例。结果:1例行单纯手术患者在术后7个月复发,行抗结核药物治疗后随访7个月未见复发;余12例未见复发。结论:对于结核性中耳乳突炎,正规抗结核治疗是最基本的治疗方法,手术可清除中耳内炎性肉芽组织及死骨,缩短病程。

Objective：To analyze the clinical features and treatment of tuberculous otitis media and maslohli lis. Method：Thirteen patienls whh tuberculous otitis media and mastoiditis were retrospectively analyzed and Ihe related literatures were reviewed. （）ne case was treated by surgery only, and anti tuberculousis treatment was giv- en to another one patient,and surgical removal of disease lesions in combinalion wi^h anti-tuberculosis treatment were given to 12 patienls. Result：（）ne patient received surgery only was found lo recur after follow-up for seven months. The patient did not recur after seven months＇ follow-up after antituberculosis therapy,and other patients did not recur. Conelusion：.J＇thhough the regular anti-tuberculousis chemotherapy treatment was the main trcalnlenl for tuberculous otilis anti mastoiditis, surgiea] treatment was helpful to achieved more rapid healing of the ear.