摘要
目前手术是治疗慢性化脓性中耳炎的最有效手段,手术目的是彻底清除病灶并尽最大努力保留或改善患者听力以提高患者生活质量,其手术方式主要有完壁式、开放式及保留骨桥的乳突根治鼓室成形术,保留骨桥的乳突根治鼓室成形术在一定程度上兼具完壁式乳突根治鼓室成形术后听力保留和开放式乳突根治鼓室成形术病灶清除彻底方面的优势。笔者希望通过对保留骨桥的乳突根治鼓室成形术的术式及其改良术式、手术疗效、术式复发率及手术适应证与禁忌证的概述,为此术式的选择提供参考。
At present, surgery is the most effective method to treat chronic suppurative otitis media. The purpose of surgery is to completely remove the lesion and make the best efforts to retain or improve the hearing of patients to improve the quality of life of patients. Keep the mastoid bone bridge effect a radical cure tympanoplasty (Intact-bridge mastoitympanoplasty, IBM) both safely mastoid type to a certain extent effect a radical cure tympanoplasty (canal wall down CWD) postoperative retention and open mastoid hearing effect a radical cure tympanoplasty (canal wall up CWU) lesions cleared completely advantage.The author hopes to provide a reference for the selection of surgical methods by summarizing the surgical methods, improved surgical effects, recurrence rate, indications and contraindications of mastoidectomy for tympanoplasty with bone bridge preservation.
作者
刘学宝
许彬彬
韩跃峰
Liu Xuebao;Xu Binbin;Han Yuefeng(Department of Otolaryngology Head and Neck Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China)
出处
《国际耳鼻咽喉头颈外科杂志》
2019年第3期151-154,共4页
International Journal of Otolaryngology-Head and Neck Surgery
关键词
中耳炎
化脓性
鼓室成形术
Otitis Media, Suppurative
Tympanoplasty
