[乳突手术治疗伴有混合性听力损失的分泌性中耳炎]
[Mastoid surgery for secretory otitis media with mixed hearing loss].
作者信息
Feng Xiao-hua, Long Xiao-bin, Wang Jian, Chen Yong-ting, Guo Xiao-qian
机构信息
Department of Otolaryngology, Guangzhou General Hospital of Guangzhou Command, Southern Medical University, Guangzhou 510010, China.
出版信息
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Jul;30(7):1673-5.
OBJECTIVE
To analyze the therapeutic effect of mastoid surgery for secretory otitis media with mixed hearing loss.
METHODS
A retrospective analysis was conducted of the data from 26 cases (43 ears) of secretory otitis media with bone conduction hearing loss collected from 2001 to 2008. Thirty-two ears were treated with mastoid surgery and myringotomy with insertion of ventilation tubes. All the patients received medications after the operation.
RESULTS
All the patients showed obvious improvement after mastoid surgery. The average pure tone of air conduction hearing threshold was about 25 dB after the surgery, with the average pure tone of bone conduction hearing threshold of about 15 dB. The patients were followed up for 1-2 years during which no significant change in hearing was recorded, and no middle ear effusion in the tympanic cavity was found after removal of the ventilation tubes.
CONCLUSION
Persistent secretory otitis media can be associated with mixed hearing loss, and mastoid surgery can significantly enhance the hearing level to produce positive therapeutic effects.
目的
分析乳突手术治疗伴有混合性听力损失的分泌性中耳炎的疗效。
方法
回顾性分析2001年至2008年收集的26例（43耳）伴有骨导听力损失的分泌性中耳炎患者的数据。32耳接受了乳突手术及鼓膜切开置管术。所有患者术后均接受药物治疗。
结果
所有患者乳突手术后均有明显改善。术后气导听力阈值平均纯音约为25dB，骨导听力阈值平均纯音约为15dB。对患者进行了1至2年的随访，在此期间听力无明显变化，取出通气管后鼓室内未发现中耳积液。
结论
持续性分泌性中耳炎可伴有混合性听力损失，乳突手术可显著提高听力水平，产生积极的治疗效果。
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