乳突根治+开放式鼓室成形术治疗胆脂瘤中耳炎的临床效果分析

Clinical effect analysis of radical mastoidectomy combined with open tympanoplasty in the treatment of cholesteatoma otitis media

目的探讨乳突根治＋开放式鼓室成形术治疗胆脂瘤中耳炎的临床效果.方法选取本院2009年10月～2013年10月收治的68例胆脂瘤中耳炎患者为研究对象,按照手术方法分成两组,观察组38例患者给予乳突根治＋开放式鼓室成形术治疗,对照组30例患者给予常规手术治疗,观察两组的治疗效果.结果观察组的总有效率为92.1％,对照组的总有效率为73.3％,差异有统计学意义（P＜0.05）.观察组的听力提升率显著高于对照组,差异有统计学意义（P＜0.05）.结论采用乳突根治＋开放式鼓室成形术治疗胆脂瘤中耳炎的效果较确切,能有效提高患者的听力,值得临床推广应用.

Objective To investigate the clinical effect of radical mastoidectomy combined with open tympanoplasty in the treatment of cholesteatoma otitis media. Methods 68 cases of patients with cholesteatoma otitis media in our hospi- tal from October 2009 to October 2013 were selected as the research objects and divided into two groups according to the operation method,radical mastoidectomy combined with open tympanoplasty was used in observation group （38 cas- es）,routine operation was used in control group （30 cases）.Therapeutic effect of two groups was compared.Results Total effective rate in observation group was 92.1%,total effective rate in control group was 73.3%,with statistical difference （P〈0.05）.Hearing improvement rate in observation group was higher than that in control group,with statistical difference （P 〈0.05）. Conclusion Effect of radical mastoidectomy combined with open tympanoplasty in the treatment of cholesteatoma otitis media is accurate,can effectively improve listening of patient.It is worthy of clinical promotion and application.