期刊文献+

开放性鼓室成形术后术腔真菌感染临床分析

Fungal infection in sugrical cavity after canal wall down tympanoplasty
下载PDF
导出
摘要 目的探讨开放性鼓室成形术后术腔真菌感染的临床特征及不同治疗方法。方法分析2013年1月至2014年11月乳突术腔真菌感染45例患者(45耳)的临床特征、菌群分布,耳内镜清理术腔真菌病变后,将患者随机分为硼酸酒精组(20耳)和派瑞松乳膏组(25耳)进行疗效对比.、结果真菌培养多为曲霉菌,常合并细菌感染。治疗后4周,涂用派瑞松乳膏组痊愈22例,有效3例,无效0例,总有效率为100%,半年后复发4例,复发率16%;硼酸酒精组痊愈9例,有效6例,无效5例,总有效率为75%,半年后复发12例,复发率60%。两组治疗有效率和复发率比较,差异有统计学意义。结论开放式鼓室成形术后再感染原因真菌感染常见,治疗方案采用耳内镜清理后涂用派瑞松乳膏疗效明显优于局部滴硼酸酒精,复发率低。 Objective To analyze the clinical features and different treatment methods of fungal infection in surgical cavity after canal wall down tympanoplasty. Methods The clinical characteristics and fugal flora distribution of 45 patients (45 ears) with fungal infection in surgical mastoid cavity enrolled from January, 2013 to November, 2014 were analyzed. The fungal infectious lesion in surgical cavity was cleared under otoendoscope. Then, the patients were divided into a boric acid alcohol group (20 ears) and a pevisone cream group (25 ears). The treatment efficacies were compared between these two groups. Results Fugal cultures mainly found aspergillus. Most the patients complicated with bacteria infection, 4 weeks after the treatment, 22 ears were cured, 3 responsed well, none didn't response, the total efficacy was 100%, and 4 (16%) re-occurred half year from then in the pevisone cream group and 9 were cured, 6 responsed well, 5 didn't responsed, the total efficacy was 75%, and 12 (60%) re-occurred half year from then in the boric acid alcohol group. There were statistical differences in total efficacy and recurrence rate between these two groups. Conclusions Fungal infection commonly occurs after canal wall down tympanoplasty. Otoendoscopic treatment combined pevisone cream is better than with boric acid alcohol and has a lower recurrence rate.
出处 《国际医药卫生导报》 2015年第21期3110-3112,共3页 International Medicine and Health Guidance News
基金 广东省科技计划项目(20138022000059)
关键词 鼓室成形术 真菌病 治疗 Tympanoplasty Mycosis Therapy
  • 引文网络
  • 相关文献

参考文献6

二级参考文献25

共引文献61

相关主题

;
使用帮助 返回顶部