Li H L, Zhang Z F, Xie M X, Ren T L, Wang W Q
Department of Otolaryngology Head and Neck Surgery,the Second People's Hospital of Kashi, Kashi, 844000, China.
Department of Otolaryngology Head and Neck Surgery, EENT Hospital of Fudan University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jul 20;31(14):1119-1122. doi: 10.13201/j.issn.1001-1781.2017.14.017.
Analysis of perforation rate and hearing improvement rate of patients with chronic suppurative otitis media after operation, to observe the effect of tympanoplasty with or without mastoidectomy.Retrospective analysis the clinical data of EENT Hospital of Fudan University from January 2011 to December 2016, 167 cases (ears) by tympanoplasty. According to the surgical approach were divided into simple tympanoplasty in 108 cases (group A), tympanoplasty with mastoidectomy in 59 cases(group B)(CWU in 23 cases, IBM in 11 cases, CWD in 25 cases). Endoscopy and pure tone audiometry after 3 to 6 months, using SPSS19.0 software to compare the difference of tympanic membrane perforation rate and hearing improvement rate. The tympanic membrane perforation rate of group A and group B were 8.33%(9/108) and 5.08%(3/59),there was no significant difference(χ²= 0.604, > 0.05). The hearing improvement rate of group A and group B were 83.33%(90/108) and 77.97%(46/59), there was no significant difference (χ²= 0.727, > 0.05).For chronic suppurative otitis media with lesions confined to the mastoid and tympanic sinus, the removal of mastoid lesions in the treatment of tympanic membrane healing and improvement of hearing can not achieve better results than simple tympanoplasty.
分析慢性化脓性中耳炎患者术后穿孔率及听力改善率，观察单纯鼓室成形术与伴或不伴乳突切除术的鼓室成形术的效果。回顾性分析复旦大学附属眼耳鼻喉科医院2011年1月至2016年12月行鼓室成形术的167例（耳）患者的临床资料。根据手术方式分为单纯鼓室成形术108例（A组），鼓室成形术伴乳突切除术59例（B组）（完壁式乳突切开术23例，开放式乳突切开术11例，改良乳突根治术25例）。术后3至6个月行耳内镜及纯音听力测试，采用SPSS19.0软件比较鼓膜穿孔率及听力改善率的差异。A组和B组的鼓膜穿孔率分别为8.33%（9/108）和5.08%（3/59），差异无统计学意义（χ²= 0.604，P>0.05）。A组和B组的听力改善率分别为83.33%（90/108）和77.97%（46/59），差异无统计学意义（χ²= 0.727，P>0.05）。对于病变局限于乳突及鼓窦的慢性化脓性中耳炎，在鼓膜愈合及听力改善方面，乳突病变切除术并不比单纯鼓室成形术效果更好。
