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慢性化脓性中耳炎80例手术疗效分析 被引量:6

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摘要 目的探讨治疗慢性化脓性中耳炎的有效手术方式。方法回顾性分析80例慢性化脓性中耳炎手术病例的临床资料及随访结果。结果80例中行开放式乳突改良根治+鼓室成形术59例,闭合式乳突改良根治+鼓室成形术12例,上鼓室、鼓窦开放+鼓室成形术6例,单纯Ⅰ型鼓室成型术3例。30例行乳突腔骨粉填塞。随访3月~3年,千耳者78例(97.5%)。骨粉填塞组和闭合式手术组干耳时间短于未填塞组(P〈0.05)。65例术后6~12月复查听力,语言频率气导提高10-30dB者39例,占60%。3例术后骨导听力下降并有高频气导听阈明显下降。术后鼓膜穿孔5例,2例外耳道口狭窄,无颅内外并发症。结论慢性中耳炎应根据病变选择不同的手术方式,以提高疗效,减少复发率及并发症。
出处 《四川大学学报(医学版)》 CAS CSCD 北大核心 2010年第6期1080-1081,共2页 Journal of Sichuan University(Medical Sciences)
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