闭合式乳突根治并鼓室成形术的临床研究

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目的探讨闭合式乳突根治并鼓室成形术的适应证及手术方法,以提高手术效果和患者的术后生活质量。方法总结了5年内采用闭合式乳突根治并鼓室成形术的术式49耳和开放式术式82耳的临床资料及随访结果。结果49耳行闭合式乳突根治术并鼓室成形术者术后20d全部干耳,听力提高在15dB以上者31耳,所有病例随访均无复发;82耳行开放式乳突根治术并鼓室成形术者术后20d干耳者仅13耳,无1耳听力提高在15dB以上者。虽然二者的疾病复发率差异无统计学意义,但前者术后恢复快,听力提高明显优于后者,并获得一个正常形态的外耳道,不需术后定期清痂换药。结论对于需行乳突根治术并鼓室成形术者,如果设备和技术条件具备,病变范围允许,应优先选择闭合式术式。 Objective To investigate the indications and surgical methods of closed mastoidectomy and tympanoplasty in order to improve the surgical effect and the postoperative quality of life of the patients. Methods The clinical data and follow-up results of 49 surgical procedures and 82 open surgical procedures using closed mastoidectomy and tympanoplasty within 5 years were summarized. Results 49 ear canal mastoidectomy and tympanoplasty all dry ear 20d after operation, hearing increased more than 15dB 31 ears, all cases were followed up were no recurrence; 82 ears open mastoidectomy and tympanoplasty Surgery 20d dry ears were only 13 ears, no improvement in 1 hearing more than 15dB. Although the difference between the two disease recurrence rate was not statistically significant, but the former rapid recovery after surgery, significantly improved hearing better than the latter, and obtain a normal morphology of the external auditory canal, without regular cleaning scab dressing. Conclusion For radical mastectomy and tympanoplasty, if the equipment and technical conditions are available, the scope of the lesion should be given priority to the choice of closed surgery.
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