开放式乳突切除鼓室成形术的疗效分析.pdfVIP

28 Ch in J Op hthalmol and O torh inolaryngol, January 2008, Vol 8,No. 1 ·临床研究 · 开放式乳突切除鼓室成形术的疗效分析 张宇园　沈志森 　　【摘要 】　目的　观察慢性中耳炎及中耳胆脂瘤患者行开放式乳突切除鼓室成形术的疗效 。方法 　回顾 ( ) 分析 120例 142耳 行开放式乳突切除鼓室成形术患者的临床资料 。结果 　术后随访 0. 5～10年 , 130 耳获得 ( ) 干耳 ,干耳率为 9 1. 55% 。其中 97耳 68. 31% 术后气骨导差缩小 ≥15 dB HL , 45 耳与术前相比无明显改善 。 术后 1例出现面瘫 ,经地塞米松治疗 2 1 d后 ,面神经功能恢复正常 ; 7 例出现味觉改变 ,于 3～6个月后恢复正 常 。无继发性胆脂瘤发生 。结论 　慢性中耳炎和中耳胆脂瘤患者行开放式乳突切除鼓室成形术干耳率高 ,多 ( ) 数患者听力可得到改善 。 中国眼耳鼻喉科杂志 , 2008, 8: 2829 【关键词 】　鼓室成形术 ; 　听力 ; 　乳突切除术 Therapeutic effect of tym panopla sty w ith opened ma sto idectom y　ZHAN G Yuy uan, SHEN Z h isen. D ep a rtm en t of O torh inola ry ng ology, L ihu ili H osp ita l, N ingbo　315040, Ch ina Corresponding author: ZHAN G Yuyuan, Em ail: shzyy@m ail. nbp tt. zj. cn 【Ab stract】　O bjective 　To investigate the therap eutic effect of tymp anop lasty w ith op ened m astoidectomy on chronic otitis m edia and cholesteatom a of m iddle ear. M ethods　A retro sp ective study was conducted on 120 cases ( 142 ears) who had under gone tymp anop lasty w ith op ened m astoidectomy. Results　A ll p atients were followed up for 0. 5～ 10. 0 years. D ry ear was achieved in 130 of 142 ears (91. 55% ) . A po stop erative reduction in the airbone gap of 15 dB HL or more was achieved in 97 ears (68. 31% ) but not in 45 ears. Facial p aralysis app eared in one case and recovered after treatm ent w ith dexam ethasone for 2 1 days. A ltered taste was reported in 7 cases and restored in 3 to 6 month s. No secondary cholesteatom a was reported. Conclusion s　Tymp anop lasty w ith op ened m astoidectomy can ach ieve h igher dry ear r