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改良乳突根治术前后骨导听阈变化及影响因素

梅雪霜 田怀谷 胡洪义

中国伤残医学Issue(11):12-14,3.
中国伤残医学Issue(11):12-14,3.DOI:10.13214/j.cnki.cjotadm.2014.11.009

改良乳突根治术前后骨导听阈变化及影响因素

Analysis Changes of Bone Conduction Threshold (BC), and it's Impact Factors before and after open Modified Radical Mastoidectomy Surgery

梅雪霜 1田怀谷 1胡洪义1

作者信息

  • 1. 北京大学深圳医院耳鼻咽喉科,广东 深圳 518036
  • 折叠

摘要

Abstract

Objectives:To analyze changes of bone conduction threshold ( BC) , and it's impact factors before and after open modified radical mastoidectomy surgery.Methods:Collected 82 COM patients'(92 ears) basic information, BC (500Hz, 1000Hz, 2000Hz, 4000Hz) value before and after operation, and the diagnosis, the operation modes, the lesion severity of COM, and so on.We used the paired T-test, variance analysis , and covariance analysis to analyze the change trend and the impact factors of BC .Results:After surger-y, the BCs at all frequency increased (P<0.001), and BCs at high frequency (2000Hz, 4000Hz) increased more than 5 dB.The pa-tients who diagnosed as cholesteatoma , or implemented tympanic cavity forming operations , had more BCs increasing at high frequency .. Conclusion:tympanoplasty can lead to bone conduction hearing loss at high frequency .Through ABGs at low or medium frequency to eval-uating the degree of hearing improvement on patients after tympanoplasty are much more objective .

关键词

慢性中耳炎/骨导听阈/影响因素/改良乳突根治术

Key words

Chronic otitis media/Bone conduction threshold/Impact factors

分类

医药卫生

引用本文复制引用

梅雪霜,田怀谷,胡洪义..改良乳突根治术前后骨导听阈变化及影响因素[J].中国伤残医学,2014,(11):12-14,3.

中国伤残医学

1673-6567

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