[中耳炎手术中鼓室后隐窝感染的治疗]
[Treatment of infection in posterior tympani cavity during surgical procedures of otitis media].
作者信息
Nie Guohui, Dong Hongsong
机构信息
Department of Otorhinolaryngology, the First Affiliated Hospital, Medical College of Shenzhen University, Shenzhen Second People Hospital, Shenzhen, 518035, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Nov;25(22):1025-6.
OBJECTIVE
Analyse the effect of the treatment of infection in posterior tympani cavity in 168 cases with chronic otitis media.
METHOD
Infection was eliminated in posterior tympani cavity of all 168 cases after surgical procedures of otitis media, and 102 tympanoplasty with autoplastic bone were operated in all cases. 22 tympanoplasty were operated without mastoidectomy, 53 with transmastoid approach, 27 with mastoidectomy and tympanoplasty.
RESULT
All cases were followed up for more than one year. 160 cases were cured, the effective rate was 95% and no recurrence appeared except for 8 cases. The average threshold of hearing improvement of 87 cases > 15 dB, the effective rate was 85%.
CONCLUSION
To eliminate infection, the exploratory surgery of posterior tympani cavity should be done during surgical procedures of otitis media, for improving the effect of the treatment of otitis media.
目的
分析168例慢性中耳炎患者鼓室后隐窝感染的治疗效果。
方法
168例患者均在中耳炎手术后清除鼓室后隐窝感染，全部病例均行102例自体骨鼓室成形术。其中22例鼓室成形术未行乳突根治术，53例行经乳突入路，27例行乳突根治术加鼓室成形术。
结果
所有病例均随访1年以上。160例治愈，有效率95%，仅8例复发。87例听力平均提高阈值>15dB，有效率85%。
结论
在中耳炎手术中应行鼓室后隐窝探查术以清除感染，提高中耳炎的治疗效果。
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