中耳胆脂瘤患者手术前后生活质量的评价分析

许丽丽;张文;王鑫;刘晖;王冰;张瑾;张韩

1:西安医学院

2:陕西省人民医院耳鼻咽喉头颈外科

摘要

目的探讨中耳胆脂瘤及手术干预对患者生活质量的影响。方法使用苏黎世慢性中耳炎量表(the Zurich chronic middle ear inventory, ZCMEI-21))评估53例(53耳)行手术治疗的中耳胆脂瘤患者的生活质量，该量表包括耳部体征和症状、听力水平、心理社会影响和医疗资源的使用情况四个方面；患者术前和术后6～12个月均完成纯音听力检查和ZCMEI-21量表的填写，分析一般情况、听力水平、手术干预对患者生活质量的影响。结果不同年龄、性别、职业、居住环境患者ZCMEI-21量表评分差异无统计学意义(P>0.05);手术干预前耳部体征和症状、听力水平、社会心理影响和医疗资源使用情况分量表评分及ZCMEI-21量表总分明显高于手术后，差异有统计学意义(均为P<0.05)。患者手术前后ZCMEI-21量表总评分与平均气导听阈差值之间中度相关(r=0.518,P<0.001,与手术前后气骨导差值变化之间无相关性(r=0.062,P=0.658)。结论手术干预可显著改善中耳胆脂瘤患者的生活质量，术后患者听力恢复情况与生活质量的影响显著相关。

关键词

中耳胆脂瘤;生活质量;苏黎世慢性中耳炎量表

基金项目(Foundation):

陕西省重点研发计划(2018ZDXM-SF-048)

作者

许丽丽;张文;王鑫;刘晖;王冰;张瑾;张韩

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