显微镜下鼓室成型与听骨链重建术在临床上的应用效果对比

显微镜下鼓室成型与听骨链重建术在临床上的应用效果对比李二乐;冯蓉;安利;王东;拓明祥;田青
【期刊名称】《中国医药导报》
【年(卷),期】2012(9)20
【摘要】目的探讨显微镜下鼓室成型与听骨链重建术在慢性化脓性中耳炎治疗中的应用效果,为临床治疗中耳炎提供参考.方法选取80例(80耳)慢性化脓性中耳炎手术患者分为治疗组与对照组各40例,对照组采用显微镜下鼓室成型方法,治疗组采用显微镜下听骨链重建术.结果两组患者四个频率(500 Hz、1000 Hz、2000 Hz、4000 Hz)的骨导均值经过治疗后都有明显下降,但是治疗组的下降幅度更大,与对照组治疗后的值对比有明显差异(P＜0.05).所有患者在术前后气骨导差均有明显下降.治疗组较对照组在气骨导差缩小更加明显(P＜0.05).结论相对于显微镜下鼓室成型方法,显微镜下听骨链重建术治疗慢性化脓性中耳炎能从多方面有效改善多听阈的听力状况,值得推广应用.%Objective To investigate the effects of attic molding and ossicular chain reconstruction for treating chronic suppurative otitis media in microscope for giving a reference for the clinical treatment of otitis media. Methods 80 patients (80 ears) with chronic otitis media were equally divided into the treatment group and the control group, each group had 40 cases. The treatment group was treated by ossicular chain reconstruction, and the control group was treated by attic molding. Results The average bone conduction in the four frequency (500 Hz, 1 000 Hz, 2 000 Hz, 4 000 Hz) of two groups were decreased significantly after treatment, but the treatment group decreased more than
that of the control group (P < 0.05). AH patients in the air-bone gap were significantly reduced after surgery, and the treatment group were narrowed more than that of the control group (P <0.05). Conclusion Compared to the attic molding method, ossicular chain reconstruction in the treatment of chronic suppurative otitis media can improve hearing thresholds of hearing status in the microscope, should be widely applied.【总页数】3页(P37-38,41)
【作者】李二乐;冯蓉;安利;王东;拓明祥;田青
【作者单位】陕西省延安市人民医院,陕西延安716000;陕西省延安市人民医院,陕西延安716000;陕西省延安市人民医院,陕西延安716000;陕西省延安市人民医院,陕西延安716000;陕西省延安市人民医院,陕西延安716000;陕西省延安市人民医院,陕西延安716000
【正文语种】中文
【中图分类】R764.92
【相关文献】
1.开放式鼓室成形术并听骨链重建术20例疗效分析 [J], 章旻;阮冠鑫;黄凯;廖兰芬;杨军
2.开放式与完壁式鼓室成形伴听骨链重建术后效果对比分析 [J], 李冬影;白玉;张海川
3.耳内窥镜与显微镜下鼓室成型的治疗效果对比分析 [J], 方欢欣;王海滨;何伟峰
4.显微镜下鼓室成形术与耳内镜下鼓室成形术治疗胆脂瘤型中耳炎的效果比较 [J], 卜世崇;国江华;贺晓培
5.耳内镜下上鼓室胆脂瘤清除及听骨链重建手术的疗效分析 [J], 司徒健聪;谢天岸;赖其敏;刘业宁;吕远新
因版权原因，仅展示原文概要，查看原文内容请购买。