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目的探讨耳内镜下一期完壁式鼓室成形术治疗慢性中耳炎的临床效果。方法对我院收治的80例胆脂瘤型中耳炎患者,采用耳内镜下一期完壁式鼓室成形术治疗,分析治疗效果、听力恢复情况及不良反应发生情况。结果本组80例患者术后常规随访2年中,未见鼓膜内陷袋形成及胆脂瘤复发者,术后干耳率93.4%。术前术后气导平均听阈差异有统计学意义(P<0.05)。术前术后平均气骨导差,差异有统计学意义(P<0.05)。术后患者听力500～2000 Hz,听力提高15～25 Hz,差异有统计学意义(P<0.05)。结论耳内镜下一期完壁式鼓室成形术治疗慢性中耳炎,干耳率高,术后听力恢复良好,值得临床推广应用。
Objective To investigate the clinical effect of end-stage endoscopic tympanoplasty in the treatment of chronic otitis media. Methods 80 cases of cholesteatoma otitis media treated in our hospital were treated with end-stage endoscopic tympanoplasty under endoscopy. The therapeutic effect, hearing recovery and adverse reactions were analyzed. Results 80 cases of this group were followed up for 2 years, no formation of tympanic membrane invagination and cholesteatoma recurrence, postoperative dry ear rate of 93.4%. Preoperative and postoperative mean airway hearing threshold was statistically significant (P <0.05). Preoperative and postoperative average air conduction difference, the difference was statistically significant (P <0.05). Postoperative patients with hearing loss of 500 ~ 2000 Hz, hearing increased 15 ~ 25 Hz, the difference was statistically significant (P <0.05). Conclusion Endoscopic endoscopic wall-assisted tympanoplasty in the treatment of chronic otitis media, dry ear rate, postoperative hearing recovery is good, worthy of clinical application.