鼓室成形术在慢性化脓性中耳炎手术中的适应证及其对术后听力效果的影响

Influence of Tympanoplasty in Chronic Suppurative Otitis Mediaadaptation Syndrome and Postoperative Effect of Hearing

目的:探讨型鼓室成形术在慢性化脓性中耳炎手术中的适应证及对术后听力效果的影响。方法:将本院2009年1月-2013年12月收治的168例慢性化脓性中耳炎患者的临床资料进行回顾性分析,患者均行完壁或开放型鼓室成形术,观察鼓室成形术的手术适应证及对患者术后听力效果的影响。结果:治疗后,患者气导听阈与骨导听阈显著降低(P<0.05)。术后无严重并发症发生,随访6个月出现26例复发病例,复发率为15.48%。结论:鼓室成形术治疗慢性化脓性中耳炎效果显著,并发症少,可改善患者的听力水平,值得临床推广使用。

Objective：To study the influence of tympanoplasty in chronic suppurative otitis media on the postoperative effect of hearing.Method：The clinical data of 168 cases of chronic suppurative otitis mediapatients in our hospital from January 2009 to December 2013 were retrospectively analyzed,patients underwent complete wall or open tympanoplasty, thetympanoplastic operation indication and effect on the listening effect of postoperative patients were observed.Result：After treatment,threshold of hearing by air conduction and bone conduction threshold decreased significantly（P〈0.05）.No serious postoperative complications,follow-up of six months in 26 cases of recurrence,the recurrence rate was 15.48%. Conclusion：The effect of tympanoplasty for chronic suppurative otitis media significantly, fewer complications,patients can improve listening level,is worthy of clinical use.