摘要
目的探讨儿童慢性化脓性中耳炎的临床特点及治疗方法.方法对我院1990～2004年间住院手术治疗的儿童慢性化脓性中耳炎27例（30耳）进行回顾性分析.3耳行Ⅰ型鼓室成形术,余27耳均行开放式手术,其中22耳行改良乳突根治术（3耳干耳后行Ⅱ期鼓室成形术）,5耳行改良乳突根治加鼓室成形术.结果术后一次性干耳28耳,干耳率为93.3%;单纯行改良乳突根治的19耳中,术后听力提高6耳,不变7耳,下降6耳.Ⅰ期或Ⅱ期行鼓室成形的11耳术后听力均有不同程度的提高.结论儿童慢性化脓性中耳炎宜采用开放式手术,以清除病变,获得干耳.在保证病灶清除前提下可考虑行Ⅰ期或Ⅱ期听力重建.
Objective To investigate the clinical features of chronic suppurative otitis media （CSOM） in children and to evaluate effective therapies for this kind of disease. Methods A retrospective study was carried out among 27 children cases（30 ears） with CSOM treated in our Hospital from 1990 to 2004. of these cases, 3 ears were treated by type Ⅰtympanoplasty while the remaining 27 ears were treated by opening operations. Among the ears treated by opening operations, 22 ears were operated on by modified radical mastoidectomy, of them 3 ears being re-operated on by type Ⅱ tympanoplasty after the lesion in middle ear being curde, and 5 ears were treated by modified radical mastoidectomy supplemented with tympanoplasty. Results In this group of cases. 28 ears were healed by only once surgical treartment, with a healing rate of 93.3 %. Among the 19 ears treated by modified radical mastoidectomy, the postoperative hearing level was improved in 6 ears, kept at the same level as preoperative in 7 ears, and become worse in 6 ears. The other 11 ears, treated either by type Ⅰ or by type Ⅱtympanoplasty, all showed various degrees of hearing improvement. Conclusions It is best to treat CSOM in children by opening surgical procedures in order to remove the lesion in middle ear cavity as thoroughly as possible to make otorrhea stopped earlier. Then stage Ⅰor stage Ⅱ, hearing reconstructing operation can be considered on the basis of lesion in middle ear cleft healed well.
出处
《中国中西医结合耳鼻咽喉科杂志》
2006年第2期81-83,共3页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词
中耳炎
儿童
手术疗法
疗效
Otitis media
Children
Surgical therapy
Therapeutic effect
