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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

王庭阔 刘荣 肖少军 李建兴 李美娟 张伟强 杨党卫 邓龙刚

井冈山大学学报(自然科学版)Issue(4):90-93,106,5.
井冈山大学学报(自然科学版)Issue(4):90-93,106,5.DOI:10.3969/j.issn.1674-8085.2015.04.017

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

王庭阔 1刘荣 2肖少军 3李建兴 1李美娟 1张伟强 1杨党卫 1邓龙刚1

作者信息

  • 1. 深圳市龙华新区中心医院耳鼻咽喉科,广东,深圳 518110
  • 2. 深圳市龙华新区中心医院健康管理科,广东,深圳 518110
  • 3. 青田县人民医院耳鼻咽喉科,浙江,青田 323900
  • 折叠

摘要

Abstract

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 isworth promoting in clinical.

关键词

内镜/完壁式鼓室成形术/慢性化脓性中耳炎

Key words

endoscopy/intact canal wall mastoidectomy and tympanoplasty/chronic suppurative otitis media mastoid

分类

医药卫生

引用本文复制引用

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].井冈山大学学报(自然科学版),2015,(4):90-93,106,5.

基金项目

广东省深圳市科创委计划项目(JCYy20140415091613069) (JCYy20140415091613069)

井冈山大学学报(自然科学版)

1674-8085

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