摘要
目的探讨中耳乳突手术对慢性分泌性中耳炎治疗的临床疗效。方法通过回顾性分析行乳突改良根治术、鼓室探查术的慢性分泌性中耳炎患者临床资料,来分析患者的总有效率与手术前后纯音听阈变化。结果病情反复发作,行咽鼓管吹张、鼓膜穿刺及鼓膜置管治疗无效的慢性分泌性中耳炎患者,经中耳乳突手术治疗,95%的患者听力获得良好效果,术后分期观察无不良后果和反复发作,两组患者治疗后总有效率达95%以上;两种手术患者术前听力比较差异具有统计学意义(P<0.05),行乳突改良根治术患者术前1周、术后1周及术后3个月,差异具有统计学意义(P<0.05),行鼓室探查、鼓膜置管术患者,术前1周、术后1周及术后3个月,差异具有具有统计学意义(P<0.05)。结论临床上经保守治疗无效反复发作的慢性分泌性中耳炎患者,经中耳乳突手术治疗慢性分泌性中耳炎临床疗效明显,能显著改善患者的临床症状及听力情况,为慢性分泌性中耳炎的治疗提供新思路。
Objective To investigate the clinical therapeutic effect of middle ear and mastoid operation in patients with chronic secretory otitis media.Methods Through retrospective analysis of mastoid modified radical operation and exploratory tympanotomy of chronic secretory otitis media in patients with clinical data of patients of the total efficiency before and after surgery and pure tone audiometry change.Results For the recurrent disease,Eustachian tube,tympanic membrane puncture and tympanostomy tube treatment of chronic secretory otitis media after the treatment of middle ear and mastoid operation patients,95% patients got good recovery and good hearing.observing stage had no adverse consequences and repeated.Two groups of patients after treatment,the total effective rate of 95%.Two groups of before operation there were significant differences in the comparison of listening comprehension（P〈0.05）,mastoid modified radical mastectomy patients before 1 weeks,1 weeks after surgery and 3 months after surgery,there were significant differences（P〈0.05）,line,tympanotomy tympanostomy tube preoperative and 1weeks,1 weeks after surgery and postoperative 3 months there were significant differences（P〈0.05）,with statistical significance.Conclusions The clinical therapeutic effect of middle ear and mastoid operation in patients with chronic secretory otitis media is obvious,and can improve the clinical symptoms and hearing of the patients,and provide a new way for them.
出处
《内蒙古医学杂志》
2015年第10期1179-1181,共3页
Inner Mongolia Medical Journal
