改良乳突根治术及鼓室成形术治疗中耳胆脂瘤的效果

Effect of modified radical mastoidectomy and tympanoplasty on middle ear cholesteatoma

目的 探讨中耳胆脂瘤采取改良乳突根治术及鼓室成形术(下文简称改良手术)治疗的效果。方法 选择2020年1月至2023年1月河南科技大学第一附属医院收治的60例中耳胆脂瘤患者为研究对象,按照随机数字表法分为对照组与观察组,每组30例。对照组予以乳突根治术治疗,观察组予以改良乳突根治术及鼓室成形术治疗。比较两组疗效、安全性、术后指标(上皮化时间、气导、气骨导、术腔干耳时间)、外耳道形状改变情况,以及术前与术后1周生活质量。结果 观察组治疗总有效率更高,并发症发生率更低,外耳道正常率更高,而术后指标均更优,与对照组比较差异有统计学意义(P<0.05)。结论 中耳胆脂瘤采取改良乳突根治术及鼓室成形术与传统乳突根治术手术方案比较,能进一步提升临床效果,不仅术后指标更优,而且外耳道形状改善更好,安全性高。

Objective To investigate the effect of modified radical mastoidectomy and tympanoplasty(modified operation) on middle ear cholesteatoma. Methods Sixty patients with middle ear cholesteatoma admitted to the First Affiliated Hospital of Henan University of Science and Technology from January 2020 to January 2023 were divided into two groups, with 30 cases in each group. The control group was treated with radical mastoidectomy, and the observation group was treated with modified radical mastoidectomy and tympanoplasty. The efficacy, safety, postoperative indicators(epithelization time, air conduction, air bone conduction, surgical cavity dry ear time), external auditory canal shape change, and quality of life before and 1 week after surgery were compared. Results The total effective rate of the observation group was higher, the complication rate was lower, the normal rate of the external auditory canal was higher, and the postoperative indicators were lower, which were significantly different from those of the control group(traditional surgery)(P<0.05). Conclusions Compared with traditional radical mastoidectomy, modified radical mastoidectomy and tympanoplasty can further improve the clinical effect, not only the postoperative indicators are better, but also the shape of the external ear canal is better, and high safety.