伴外耳道真菌病肉芽性鼓膜炎41例

山东大学耳鼻喉眼学报

伴外耳道真菌病肉芽性鼓膜炎41例

岳耀光¹，区永康²，许耀东²，张伟华¹，肖辉良¹

（1. 东莞市横沥人民医院，广东东莞 523460； 2. 中山大学附属二院耳鼻喉科，广州 510120)

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-04-16 发布日期:2009-04-16
通讯作者: 区永康

Granular myringitis with otomycosis in 41 cases

YUE Yaoguang¹，OU Yongkang², XU Yaodong², ZHANG Weihua¹, XIAO Huiliang¹

(1. Department of Otolaryngology, Hengli People′s Hospital, Dongguan 523460, Guangdong, China;
2. Department of Otolaryngology, Second Affiliated Hospital of Sun YatSen University, Guangzhou 510120, China)

Received:1900-01-01 Revised:1900-01-01 Online:2009-04-16 Published:2009-04-16
Contact: OU Yongkang

摘要/Abstract

摘要： 目的探讨伴外耳道真菌病的慢性肉芽性鼓膜炎的临床诊断及治疗方法。方法对患有伴外耳道真菌病的肉芽性鼓膜炎者41例（43耳）应用耳内镜进行检查，清理外耳道，根据鼓膜不同特征病变采用搔刮、或/和钳取、化学烧灼，同时应用派瑞松外耳道涂布。结果所有患者中肉芽性鼓膜炎治愈41耳（95.3%），反复未愈2耳（2.3%），复发2耳（4.7%）；伴发的外耳道真菌病治愈39耳(90.7%)，反复未愈4耳（9.3%），复发4耳（9.3%）。其中同时未愈1耳，同时复发2耳。结论应用耳内镜能提高伴外耳道真菌病的慢性肉芽性鼓膜炎的诊断率，耳内镜下保守治疗及结合局部用含糖皮质激素的抗真菌药物治疗此病能取得良好疗效。

关键词: 耳内镜, 外耳道真菌病, 肉芽性鼓膜炎

Abstract: To investigate the diagnosis and treatment in granular myringitis with otomycosis. MethodsFortythree ears of granular myringitis with otomycosis were detected and treated by otoendoscopy between May 2004 and February 2008. Scoraping, clippering and chemical cauterization were performed on the basis of clinical features. Simultaneously pevisone was sprayed over the external canal. ResultsThe cure rate was 95.3%(41/43) in granular myringitis and 90.7% (39/43)in otomycosis, and the recurrence rate was 4.7%(2/43) and 9.3%(4/43) with a followup of more than 6 months. Conclusion Otoendoscopy can elevate the accuracy of diagnosis for granular myringitis with otomycosis, and it in combination with a topical antifungal agent containing glucocorticods can give a satisfactory curative effect.

中图分类号:

R764.2

岳耀光1 ，区永康2 ，许耀东2 ，张伟华1 ，肖辉良1
. 伴外耳道真菌病肉芽性鼓膜炎41例[J]. 山东大学耳鼻喉眼学报, 2009, 23(2): 50-52 .

YUE Yaoguang¹，OU Yongkang², XU Yaodong², ZHANG Weihua¹, XIAO Huiliang¹.

Granular myringitis with otomycosis in 41 cases

[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(2): 50-52 .

参考文献

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