摘要
目的探讨慢性化脓性中耳炎鼓膜成形术的时机选择,为临床治疗提供依据。方法选择2009年6月至2011年6月我院收治的慢性化脓性中耳炎患者50例(56耳),根据干耳时间,选择7个组段干耳时间,每组干耳时间选择8耳行鼓膜成形术,记录每例患者的听力水平,并随访观察3个月,分析治疗后听力水平与干耳时间的关系。结果通过拟合最佳方程Y^=12.5567+0.19671x-0.03221x2,发现鼓膜成形术选择在干耳时间2～4个月,听力水平提高最高。结论慢性化脓性中耳炎鼓膜成形术的最佳时机选择在干耳时间2～4个月能够提高手术成功率,使听力阈值最大,患者生活质量得到改善。
Objective To explore the timing of tympanoplasty in treatment of chronic otitis suppurative media,in order to provide basis for the clinical treatment.Methods A retrospective analysis of 50 cases（56 ears）with hronic otitis suppurative media in our hospital Jun.2009 to Jun.2011 were divided into 7 groups according to the time of dry ear,and 8 ears were selected in each group to conduct tympanoplasty,the hearing level of each patient was recorded and follow-up was done for 3 months to analyze the correlation between hearing level and operation dry ear time.Results The highest hearing improvement after tympanoplasty as treatment of chronic otitis suppurative media was after 2-4 months for dry ear by the fitting equation：Y^=12.5567＋0.19671x-0.03221x2.Conclusion The optimal time of tympanoplasty as treatment of chronic otitis suppurative media was after 2-4 months for dry ear,which can increase the successful rate and maximize the hearing threshholds,thus improve patients life quality.
出处
《医学综述》
2012年第12期1958-1959,共2页
Medical Recapitulate
