51例儿童慢性化脓性中耳炎行鼓室成形术的疗效分析

乔燕;张婵娟;宋勇莉;杨润琴;陈阳;查定军;邱建华;

1:空军军医大学西京医院耳鼻咽喉科

摘要
目的 探讨儿童慢性化脓性中耳炎行鼓室成形术的疗效。方法 回顾性分析51例(51耳)行鼓室成形术的慢性化脓性中耳炎儿童年龄、手术方法、鼓膜愈合率、术后听力疗效。结果 51例患儿年龄7~17岁,平均12.98±3岁,51耳的鼓膜愈合率为90.2%(46/51);将患者分为≤13岁(26例)及>13岁(25例)两组,鼓膜愈合率分别为88.46%(23/26)、92.0%(23/25),差异无统计学意义(P>0.05);完成Ⅰ型鼓室成形术者35耳(68.63%),Ⅱ型鼓室成形术者16耳(31.37%),Ⅰ型和Ⅱ型鼓室成形术者术后术耳气骨导差较术前均有显著缩小(P<0.05);听力改善总有效率为78.43%(40/51),Ⅰ型和Ⅱ型鼓室成形术者听力改善的有效率分别为80%(28/35),75%(12/16)。结论 7岁以上慢性化脓性中耳炎儿童的年龄可能不是影响鼓室成形术成功率的关键因素,但手术仍需谨慎。
关键词
年龄;儿童;慢性化脓性中耳炎;听骨链重建
基金项目(Foundation):
国家自然科学基金青年项目(81900933)
作者
乔燕;张婵娟;宋勇莉;杨润琴;陈阳;查定军;邱建华;
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