【摘要】 目的分析中耳胆脂瘤病患采用软组织耳道后壁重建与鼓室成形术的临床应用价值。方法方便选取2010年2月—2016年8月该院收治的97例胆脂瘤中耳炎病患,依据治疗方案的差异性分组即A组(实施开放式乳突根治术医治)40例,B组(采用经典完壁式乳突切除术治疗)30例,C组(使用开放式乳突根治术)27例;对比3组患者疗效的差异性结果。结果 A组的胆脂瘤复发(3例)显著优于B组(7例),差异有统计学意义(P<0.05);听力改善以及干耳,平均干耳时间,耳道功能较佳等方面分别为75.0%,90.0%,(38.2±8.1)d,87.5%与B组的76.7%,83.3%,(41.5±7.8)d,86.7%等差异无统计学意义(P>0.05);且A组听力改善率,平均干耳率显著优于C组11.1%,76.9%(P<0.05)。结论中耳胆脂瘤患者经软组织耳道后壁重建与鼓室成形术医治后,可将病灶清除,降低并发症发生率,复原外耳道功能,值得在临床推广。更多还原

【Abstract】 Objective To analyze the clinical application value of soft tissue posterior canal wall reconstruction and tympanoplasty for patients with cholesteatoma of middle ear. Methods Convenient selection 97 cases of patients with cholesteatoma of middle ear from February 2010 to August 2016 were selected and divided into three groups according to the different treatment plans, the group A with 40 cases adopted the Open radical mastoidectomy, while the group B adopted the classic improved wall mastoidectomy, and the group C with 27 cases adopted the open mastoidectomy, and the different in the curative effect between the three groups was compared. Results The recurrence of cholesteatoma in the group A was obviously better than that in the group B(3 cases vs 7 cases), and the difference had statistical significance(P<0.05), and the differences in the hearing improvement, dry ears, average time of dry ears and better antrum auris function between the group A and the group B had no statistical significance [75.0%,90.0%,(38.2 ±8.1)d,87.5% vs 76.7%,83.3%,(41.5±7.8)d,86.7%],(P>0.05), and the hearing improvement rate and average dry ear rate in the group A were obviously better than those in the group C(P<0.05). Conclusion The soft tissue posterior canal wall reconstruction and tympanoplasty for patients with cholesteatoma of middle ear can clear the lesions, reduce the incidence rate of complications and restore the acoustic duct function, which is worth clinical promotion.更多还原