| 王庭阔,刘荣,肖少军,李建兴,李美娟,张伟强,杨党卫,邓龙刚.内镜辅助下完壁式鼓室成形术治疗慢性化脓性中耳炎疗效观察[J].井冈山大学自然版,2015,(4):90-93,106 |
| 内镜辅助下完壁式鼓室成形术治疗慢性化脓性中耳炎疗效观察 |
| CLINICAL EFFECT OF INTACT CANAL WALL MASTOIDECTOMY AND TYMMPANOPLASTY AIDED BY ENDOSCOPY IN TREATING PATIENTS WITH CHRONIC SUPPURATIVE OTITIS MEDIA |
| 投稿时间：2015-01-06 修订日期：2015-05-05 |
| DOI：10.3969/j.issn.1674-8085.2015.04.017 |
| 中文关键词: 内镜 完壁式鼓室成形术 慢性化脓性中耳炎 |
| 英文关键词: endoscopy intact canal wall mastoidectomy and tympanoplasty chronic suppurative otitis media mastoid |
| 基金项目:广东省深圳市科创委计划项目(JCYy20140415091613069) |
| 作者 | 单位 | E-mail | | 王庭阔 | 深圳市龙华新区中心医院耳鼻咽喉科, 广东, 深圳 518110
| wtk711112@163.com | | 刘荣 | 深圳市龙华新区中心医院健康管理科, 广东, 深圳 518110
| | | 肖少军 | 青田县人民医院耳鼻咽喉科, 浙江, 青田 323900 | | | 李建兴 | 深圳市龙华新区中心医院耳鼻咽喉科, 广东, 深圳 518110
| | | 李美娟 | 深圳市龙华新区中心医院耳鼻咽喉科, 广东, 深圳 518110
| | | 张伟强 | 深圳市龙华新区中心医院耳鼻咽喉科, 广东, 深圳 518110
| | | 杨党卫 | 深圳市龙华新区中心医院耳鼻咽喉科, 广东, 深圳 518110
| | | 邓龙刚 | 深圳市龙华新区中心医院耳鼻咽喉科, 广东, 深圳 518110
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| 摘要点击次数: 1925 |
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| 中文摘要: |
| 目的 探讨耳内镜辅助下完壁式乳突根治鼓室成形术治疗慢性化脓性中耳炎的临床效果和相关的经验教训。方法 对56例(耳)慢性化脓性中耳炎患者实施耳内镜辅助下的完壁式乳突根治-鼓膜内植法修复鼓室成形术,术后进行言语频率(250 ~2000 Hz)气骨导差、声阻抗检查及临床效果观察。结果 56例(耳)患者均成功进行了手术,听力提高达91.8%;鼓膜有效达96.4%;干耳达94.6%。术后1年纯音测听示言语频率气骨导差:(17.5 ± 8.1)dB H L;术后1年声阻抗:As型曲线29例,C型曲线10例,B型曲线17例。结论 施行耳内镜辅助下完壁式乳突根治-鼓膜内植法修复鼓室成形术,既可以清除隐蔽部位病变组织,又可以有效保留原中耳乳突解剖结构和改善听力,更好地提高患者术后生活质量。常规手术加用耳内镜辅助治疗慢性化脓性中耳炎值得临床推广。 |
| 英文摘要: |
| Objective: To evaluate the value of intact canal wall mastoidectmy and tympanoplasty with underlay method aided by endoscopy in treating patients with chronic suppurative otitis media mastoid. Methods: Fifty-six patients were underwent intact canal wall technique aided by endoscopy. The average air-bone gap of speech frequency(250~2000 Hz)were tested after the operation, adn the tympanomentry and clinical effect was observed. Results: Fifty-six patients were successfully operated. Among them, hearing improvement rate was 91.8%, success rate of eardrum was 96.4% and dry ear rate was 94.6%. One year after the operation, the average air-bone gap was 17.5 ± 8.1 dB H L, three kinds of curves appeared in tympanomentry test: As type tympanogram reached 29 cases, C type tympanogram 10 and B type tympanogram 17. Conclusion: Intact canal wall technique aided by endoscopy not only could clear the hidden parts of the diseased tissue in mastoid and middle ear, but also could remain anatomical structure of the middle and outer ear, which could preferably improve the postoperative life quality. It is worth promoting in clinical. |
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