耳内镜手术治疗慢性化脓性胆脂瘤型中耳炎的疗效观察.docxVIP

耳内镜手术治疗慢性化脓性胆脂瘤型中耳炎的疗效观察 哈尔滨市平房区242医院 黑龙江哈尔滨150060 【摘 要】目的：对耳内镜手术治疗慢性化脓性胆脂瘤型中耳炎的临床疗效进行 观察研究和讨论。方法：将于2014年1月到2016年1月之间我院接收并治疗的 160例慢性化脓性中耳炎患者作为研究对象，按照治疗方式的不同将患者分为观 察组与对照组，每组各80例，对照组采用常规鼓室成形手术治疗，观察组采用 耳内镜手术治疗，对比2组的手术疗效，患者的听力情况以及并发症情况。结 果：观察组治疗后痊愈49例(61.25%),有效22例(27.5%),无效9例(口. 25%),总有效率为88. 75%o治疗后3个月，患者听力情况较治疗前有提升。对 照组治疗后痊愈38例(47.5%),有效24例(30%),无效18例(22.5%),总有 效率为77.5%o差异有统计学意义(PV0.05)。术后共出现2例并发症，1例为 术后耳鸣，1例为恶心呕吐，积极处理后症状均缓解，未出现颅内感染等严重并 发症。结论：耳内镜手术能够有效的治疗慢性化脓性中耳炎，提高患者的听力, 效果显著，值得推广和应用。 【关键词】耳内镜手术；慢性化脓性胆脂瘤型中耳炎；疗效观察 Ear endoscopic surgery for chronic suppurative curative effect observation of cholesteatoma otitis media type Abstract： objective： the ear endoscope surgery treatment the curative effect of chronic suppurative type cholesteatoma otitis media observed and discussed. Methods： from January 2014 to January 2016 between our hospital receives and treatment of 160 cases of patients with chronic suppurative otitis media as the research object, accordi ng to the d iff ere nt methods of treatment patients divided into observation group and control group, 80 cases in each group, control group with normal middle ear surgery, observation group USES the ear endoscope surgery, compared two groups of surgical curative effect, hearing for the patient and complications. Results： observation group recovered after treatment in 49 cases (61. 25%), 22 cases (27. 5%), invalid 9 cases (11. 25%), the total effective rate was 88. 75%. 3 months after treatment, the patient listening situation compared with before treatment. Control group after treatment cured 38 cases (47.5%), 24 cases (30%), effective in valid 18 cases (22.5%), the total effective rate was 77.5%. The difference was statistically significant (P lt; 0. 05) . Postoperative complications, there were 2 cases, 1 case of postoperative tinnitus, 1 case of nausea and vomiting, positive symptoms were relieved after treatment, does not appear serious complication such as intracranial infection. Conclusion： the ear endoscope s