Vartiainen E, Vartiainen J
Department of Otolaryngology, University of Kuopio, Finland.
J Laryngol Otol. 1996 Apr;110(4):315-8. doi: 10.1017/s0022215100133535.
The effect of aerobic bacteriology on the clinical presentation, complications of the disease and long-term results of surgical treatment was assessed in a cohort of 368 patients with chronic suppurative otitis media. Bacteriological findings showed no significant difference between child and adult patients. Staphylococcus aureus was isolated in cholesteatoma ears more frequently than Pseudomonas aeruginosa, in chronic ears without cholesteatoma the situation was reversed. Bacteriological findings had no significant effect on the incidence of complications caused by the disease. Failures after surgical treatment were most common in Pseudomonas ears. The bacteriology had no significant effect on pre-operative hearing levels nor post-operative hearing results. It was concluded that, in order to improve results of chronic ear surgery, more attention should be paid to pre-operative conservative treatment of chronically discharging ears, especially those infected by P. aeruginosa.
在一组368例慢性化脓性中耳炎患者中，评估了需氧菌学对疾病临床表现、并发症及手术治疗长期结果的影响。细菌学检查结果显示儿童和成年患者之间无显著差异。在胆脂瘤型耳中分离出金黄色葡萄球菌的频率高于铜绿假单胞菌，在无胆脂瘤的慢性耳中情况则相反。细菌学检查结果对该疾病引起的并发症发生率无显著影响。手术治疗失败在铜绿假单胞菌感染的耳中最为常见。细菌学对术前听力水平及术后听力结果均无显著影响。得出的结论是，为了提高慢性耳手术的效果，应更加重视对长期流脓耳，尤其是受铜绿假单胞菌感染的耳朵的术前保守治疗。
