摘要
目的:分析耳内镜下耳屏软骨-软骨膜复合体行Ⅰ型鼓室成形术治疗慢性化脓性中耳炎的临床疗效研究。方法:采集2017年12月~2020年8月在我院进行治疗的40例慢性化脓性中耳炎患者为研究对象,上述患者在入院后均完成相关检查并行屏软骨-软骨膜复合体行Ⅰ型鼓室成形术进行治疗,比较参与研究患者治疗前以及治疗6个月后的听力情况,生活质量以及干耳和移植物的成活率。结果:治疗6个月后,患者在不同频率下的听力水平与治疗前相比均明显下降,差异具有统计学意义。患者术后的干耳时间为(6.19±1.45)周,移植物的成活率可达到97.5%。术后6个月,患者生活质量评分与治疗前相比均明显提高,差异具有统计学意义,且无不良反应发生。结论:采用耳屏软骨-软骨膜复合体进行耳内镜Ⅰ型鼓室成形术治疗慢性化脓性中耳炎患者,可明显改善患者的听力水平,提高干耳时间以及移植物的成活率,安全性高,值得在临床上进行推荐。
Objective To analyze the clinical effect of type I tympanoplasty on chronic suppurative otitis media.Methods 40 patients with chronic suppurative otitis media treated in our hospital from December 2017 to August 2020 were collected as the research objects.The above patients completed relevant examinations after admission and underwent type I tympanoplasty for the screen cartilage perichondrium complex.The hearing of the patients before treatment and 6 months after treatment were compared,Quality of life and survival rate of dry ears and grafts.Results After 6 months of treatment,the hearing level of patients at different frequencies decreased significantly compared with that before treatment.The time of ear drying was(6.19±1.45)weeks,and the survival rate of the graft was 97.5%.6 months after operation,the scores of patients’quality of life were significantly improved compared with those before treatment,and no adverse reactions occurred.Conclusion Otoendoscopic type I tympanoplasty with Tragus Cartilage perichondrium complex can significantly improve the hearing level,the dry ear time and the survival rate of grafts of patients with chronic suppurative otitis media,and it is worthy of clinical recommendation.
作者
解卫品
郝中平
王成
同娟
Xie Wei-pin;Hao Zhong-ping;Wang Cheng;Tong Juan(Suzhou Hospital of Anhui Medical University(Suzhou Municipal Hospital of Anhui Province),Suzhou 234000,China;Baoji Central Hospital,Baoji 721000,China)
出处
《晓庄学院学报（医学版）》
2021年第5期106-109,共4页
Journal of Hunan Normal University(Medical Sciences)
