完整骨性外耳道鼓室成形术治疗胆脂瘤型中耳炎疗效观察

山东大学耳鼻喉眼学报 ›› 2011, Vol. 25 ›› Issue (2): 34-36.

完整骨性外耳道鼓室成形术治疗胆脂瘤型中耳炎疗效观察

张开昌

天水市第一人民医院耳鼻咽喉-头颈外科，甘肃天水 741000

收稿日期:2011-02-11 修回日期:2011-03-06 出版日期:2011-04-16 发布日期:2011-04-16
作者简介:张开昌（1963- ），男，副主任医师，主要从事耳鼻咽喉头颈外科临床工作与研究。 Email：tszhangkc@163.com

Therapeutic effect of intact bone external auditory canal myringoplasty on patients with cholesteatoma tymapanitis

ZHANG Kai-chang

Department of Otolaryngology and Head & Neck Surgery, The First People′s Hospital of
Tianshui, Tianshui 741000, Gansu， China

Received:2011-02-11 Revised:2011-03-06 Online:2011-04-16 Published:2011-04-16

摘要/Abstract

摘要：

目的探讨完整骨性外耳道鼓室成形术对骨性外耳道缺损重建及对听力、干耳、术后大术腔引起耳部不适症状的影响。方法 2006～2010年收治胆脂瘤型中耳炎72例，按手术方式分为两组：对照组为开放式，采用乳突根治术或改良乳突根治术；观察组为完整骨性外耳道鼓室成形术，术中在彻底切除病变组织的同时保留或重建骨性外耳道。结果与传统乳突根治术或改良乳突根治术相比，完整骨性外耳道鼓室成形术在听力提高、干耳及消除不适症状方面有更好疗效。结论胆脂瘤型中耳炎术中保留或重建骨性耳道对术后提高听力、尽早干耳及消除“根治腔病”疗效显著。

关键词: 胆脂瘤型中耳炎；骨性外耳道重建；乳突根治术；鼓室成形术

Abstract:

Objective To discuss the influence of intact bone external auditory canal myringoplasty on the reconstruction of osseous external auditory canal and hearing, drying ear and some discomfort in the ear. Methods 72 cases of cholesteatoma tymapanitis from 2006 to 2010 were randomly divided into the control group and the observation group: the open type of radical mastoidectomy and modified radical mastoidectomy was employed in the control group and the intact bone external auditory canal myringoplasty was adopted in the observation group，in which pathological tissue was completely resected but the osseous external auditory canal was kept or reconstructed. Result Compared with traditional radical mastoidectomy and modified radical mastoidectomy, the intact bone external auditory canal myringoplasty had better and more distinct effect on improving hearing, drying ear and eliminating uncomfortable symptoms after operation. Conclusion The operation of keeping or reconstructing the osseous external auditory canal has significant effect on improving hearing, drying ear as early as possible and eliminating uncomfortable symptoms.

Key words: Cholesteatoma tymapanitis; Reconstruction of the external auditory canal; Mastoidectomy; Tympanoplasty

中图分类号:

R764.91

张开昌. 完整骨性外耳道鼓室成形术治疗胆脂瘤型中耳炎疗效观察[J]. 山东大学耳鼻喉眼学报, 2011, 25(2): 34-36.

ZHANG Kai-chang. Therapeutic effect of intact bone external auditory canal myringoplasty on patients with cholesteatoma tymapanitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(2): 34-36.

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