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慢性化脓性中耳炎手术后的早期并发症

Early complications of surgery for chronic suppurative otitis media

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【作者】 吴雅琴殷善开沈平江鲁文莺张胜兰冯云海陈斌吴红敏

【Author】 WU Yaqin YIN Shankai SHEN Pingjiang LU Wenying ZHANG Shenglan FENG Yunhai CHEN Bin WU Hongmin (Department of Otolaryngology, the Sixth People′s Hospital, Shanghai Hearing Center,Shanghai 200233)

【机构】 上海市第六人民医院耳鼻咽喉科上海市听力测试中心上海市第六人民医院耳

【摘要】 目的 :探讨慢性化脓性中耳炎手术后的早期并发症。方法 :2 91例慢性化脓性中耳炎患者 ,行鼓膜成形术 79例 ,鼓室成形术 82例 ,改良乳突根治术 88例 ,乳突根治术 4 2例。结果 :面神经麻痹为 1.0 3% ,骨导中 1个及 1个以上频率阈值升高占 4 .4 7% ,术腔感染为 3.78% ,味觉减退为 2 .4 1% ,短暂的颞颌关节不适为 2 .4 1% ,不平衡感或眩晕为 4 .4 7%。结论 :本组病例手术后的早期并发症发生率与国外报道相似

【Abstract】 Objective:To explore early post operative complications following surgery for chronic suppurative otitis media.Method:From Jan 1992 to Jul 2000,291 cases of chronic suppurative otitis media have been treated in our department.79 cases underwent myringoplasty,82 cases tympanoplasty,88 cases modified radical mastoidectomy and 42 cases radical mastoidectomy.Result:Facial nerve palsies occurred in 3 cases ( 1.03 %),bone conduction threshold elevation occurred in 13 cases ( 4.47 %) , wound infection occurred in 11 cases ( 3.78 %),7 patients ( 2.41 %) reported symptoms releated with chorda tympani trauma,symptoms of jaw discomfort were reported by 7 patients ( 2.41 %) and imbalance or vertigo by 13 patients( 4.47 %).Conclusion:The incidence of early complications of surgery for chronic suppurative otitis media in this report was similar to previous reports.

  • 【文献出处】 临床耳鼻咽喉科杂志 ,Journal of Clinical Otorhinolaryngology , 编辑部邮箱 ,2002年01期
  • 【分类号】R764.9
  • 【被引频次】5
  • 【下载频次】166
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