改良乳突根治及鼓室成形术治疗中耳胆脂瘤临床分析

Clinical analysis of modified radical mastoidectomy and tympanoplasty in the treatment of middle ear cholesteatoma

目的 分析改良乳突根治及鼓室成形术治疗中耳胆脂瘤临床效果。方法 选取我院2019年1月到2021年12月的中耳胆脂瘤65例作为观察对象,按照临床治疗方案的不同分为观察组(n=30)和对照组(n=35),对照组施行传统手术干预,观察组施行改良乳突根治及鼓室成形术,对比两组患者的临床疗效、术后上皮化时间、气导、气骨导以及术后术腔干耳时间,观察两组并发症发生情况。结果 观察组总有效率为93.33%显著高于对照组总有效率为74.29%,差异具有统计学意义P<0.05;观察组在术后的上皮化时间、气导、气骨导以及术后术腔干耳时间与对照组相比较,差异具有统计学意义P<0.05;观察组的并发症发生率3.33%显著高于对照组的25.71%,差异具有统计学意义P<0.05。结论 改良乳突根治及鼓室成形术治疗中耳胆脂瘤临床效果显著,值得推广。

Objective To analyze the clinical effect of modified radical mastoidectomy and tympanoplasty in the treatment of middle ear cholesteatoma.Methods 65 cases of middle ear cholesteatoma in our hospital from January 2019 to December 2021 were selected as the observation objects.According to different clinical treatment schemes,they were divided into observation group (n=30) and control group (n=35).The control group was treated with traditional surgical intervention,and the observation group was treated with modified radical mastoidectomy and tympanoplasty.The clinical efficacy,postoperative epithelization time,air conduction The complications of the two groups were observed.Results The total effective rate of the observation group was 93.33%,which was significantly higher than that of the control group (74.29%,P < 0.05);There were significant differences in postoperative epithelialization time,air conduction,air bone conduction and postoperative dry ear time between the observation group and the control group (P < 0.05);The incidence of complications in the observation group was 3.33%,which was significantly higher than 25.71% in the control group (P < 0.05).Conclusion Modified radical mastoidectomy and tympanoplasty are effective in the treatment of middle ear cholesteatoma.