中国耳鼻咽喉头颈外科2017，Vol.24Issue(7)：343-346,4.DOI:10.16066/j.1672-7002.2017.07.005
中耳胆脂瘤和慢性化脓性中耳炎手术临床分析
Clinical analysis on surgery of middle ear cholesteatoma and chronic suppurative otitis media
尼力帕尔•阿力木 1王松 1皮力东•库亚西 1阿依恒•曲库尔汗1
作者信息
- 1. 新疆医科大学第一附属医院耳鼻咽喉科,新疆 乌鲁木齐 830054
- 折叠
摘要
Abstract
OBJECTIVE To evaluate the choice of microsurgical treatment modalities and it's clinical effect on middle ear cholesteatoma and chronic suppurative otitis media. METHODS 110 cases with middle ear cholesteatoma and chronic suppurative otitis media were analysed which performed canal wall up mastoidectomy and canal wall down mastoidotympanectomy or at the same time tympanoplasty depending on lesion extent and the recovery time, complications, recurrence and postoperative hearing improvement were followed-up. RESULTS 110 cases were reviewed including 66 cases of middle ear cholesteatoma, 44 cases of chronic suppurative otitis media. Among these 51 cases undergone canal wall up mastoidotympanectomy accounting for 46.36%, 46 case undergone tympanoplasty, accounting for 41.81%. 59 cases undergone canal wall down mastoidectomy, accounting for 53.64%. In the canal wall up mastoidectomy group, 37 ears got hearing improvement >25 dB(33.64%), >15 dB 14 ears(12.72%), while in the canal wall down mastoidectomygroup, 5 ears got hearing improvement>15 dB(4.55%), 4 ears hearing loss(3.64%). Statistically significant difference exist in preoperative and postoperative speech frequency of average hearing threshold. We have found 4 cases of recurrence with cholesteatoma after 1 year follow-up. CONCLUSION According to different lesions of middle ear and mastoid, different operative methods can be used to obtain the corresponding clinical curative effect.关键词
胆脂瘤,中耳/中耳炎,化脓性/耳外科手术/临床方案/对比研究Key words
Cholesteatoma/Middle Ear/Otitis Media/Suppurative/Otologic Surgical Procedures/Clinical Protocols/Comparative Study引用本文复制引用
尼力帕尔•阿力木,王松,皮力东•库亚西,阿依恒•曲库尔汗..中耳胆脂瘤和慢性化脓性中耳炎手术临床分析[J].中国耳鼻咽喉头颈外科,2017,24(7):343-346,4.
