慢性中耳炎合并鼓膜穿孔手术治疗效果评价

Long Luong Si, Nhat Vo Doan Minh, Thai Le Thanh
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引用次数: 0

摘要

目的:探讨慢性中耳炎伴鼓膜穿孔的临床及临床特征,评价慢性中耳炎伴鼓膜穿孔的手术治疗效果。材料和方法:从2020年5月至2021年9月,在顺化医药大学医院和顺化中心医院诊断为慢性中耳炎并穿孔的75例患者接受了手术。结果:本病以女性多见,以16 ~ 30岁年龄组为主(34.7%)。常见的术前症状是听力下降和耳鸣。手术的主要原因是长时间耳漏史(50.7%)。鼓膜穿孔的主要部位为中央(74.7%)。耳膜成形术后患者的听力损失和耳鸣症状较术前明显改善。耳膜成形术和闭门吻合术后平均听力较术前有明显改善。术后解剖结果总体良好,占多数,发生率为86.7%。结论:慢性中耳炎是一种常见病,病程长,影响生活质量。手术治疗慢性中耳炎安全有效。关键词:慢性中耳炎;鼓膜穿孔;
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the surgical treatment results of chronic otitis media with tympanic membrane perforation
Objectives: To describe the clinical and paraclinical characteristics of chronic otitis media with tympanic membrane perforation and evaluate the results of surgical treatment of chronic otitis media with perforation. Materials and methods: 75 patients were diagnosed with chronic otitis media with perforation and underwent surgery at the Hue University of Medicine and Pharmacy Hospital and Hue Central Hospital from May 2020 to September 2021. Results: The disease was more common in women, mainly in the age group of 16-30 years old (34.7%). Common preoperative symptoms are hearing loss and tinnitus. The main reason for surgery was a history of prolonged otorrhea (50.7%). The primary location of the tympanic membrane perforation is central (74.7%). The symptoms of hearing loss and tinnitus in patients after myringoplasty improved significantly compared to before surgery. The average hearing after myringoplasty and attico-antrostomy surgery improved statistically significantly compared to before surgery. The overall anatomical outcome after surgery was good, accounting for the majority with the rate of 86.7%. Conclusion: Chronic otitis media is a common disease with a long duration and affects life quality. Surgical treatment for chronic otitis media is safe and effective. Key words: Chronic otitis media, tympanic membrane perforation.
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