摘要
目的探讨扩大面隐窝入路完壁式乳突根治术在中耳胆脂瘤中的临床应用效果与安全性。方法以我院2015年8月~2019年11月56例中耳胆脂瘤患者为研究对象,其中2015年8月~2017年11月28例患者设为对照组,给予经显微镜开放性乳突根治术+鼓室成形术,2018年12月~2019年11月28例患者设为观察组,给予经显微镜扩大面隐窝完壁式乳突根治术+鼓室成形术;对比两组手术指标、治疗有效率、术后并发症。结果观察组手术时间(125.6±6.7)min明显长于对照组(105.3±7.2min),但其干耳率(96.4%)明显高于对照组(75.0%)(P<0.05),且复发率与再次手术例数低于对照组(P>0.05)。观察组治疗有效率(96.4%)明显高于对照组(71.4%)(P<0.05)。观察组并发症发生率(7.2%)低于对照组(21.4%),但差异不明显(P>0.05)。结论扩大面隐窝入路完壁式乳突根治干耳率高、术后再发率及并发症较低,治疗有效率高,值得在临床中推广应用。
Objective To investigate the effect and safety of end wall radical mastoidectomy with enlarged facial recess approach in middle ear cholesteatoma.Methods A total of 56 cases of middle ear cholesteatoma patients in our hospital from August 2015 to November 2019 were selected as the research object.Among them,28 patients from August 2015 to November 2017 were set as the control group,and they were given radical mastectomy plus tympanoplasty.From December 2018 to November 2019,28 patients were set as the observation group,and they were given radical mastoidectomy with microscopically enlarged facial crypts plus tympanoplasty.The surgical indicators,treatment effectiveness,and postoperative complications were compared between the two groups.Results The operation time of the observation group(125.6±6.7)min was significantly longer than that of the control group(105.3±7.2)min,but its dry ear rate(96.4%)was significantly higher than that of the control group(75.0%)(P<0.05),and the recurrence and reoperation rate were lower than the control group(P>0.05).The effective rate of treatment in the observation group(96.4%)was significantly higher than that in the control group(71.4%)(P<0.05).The incidence of complications in the observation group(7.2%)was lower than that in the control group(21.4%),but the difference was not significant(P>0.05).Conclusion The end wall mastoidectomy with enlarged facial recess approach has a high rate of dry ears,a low postoperative recurrence rate and complications.This technique has a high effective treatment rate,which is worthy of clinical application.
作者
廖天义
刘海森
周轶
陈翠芳
LIAO Tianyi;LIU Haisen;ZHOU Yi;CHEN Cuifang(Qingyuan people's hospital,the Sixth Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong,511500,China)
出处
《中国中西医结合耳鼻咽喉科杂志》
2022年第4期258-261,293,共5页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词
中耳胆脂瘤
扩大面隐窝入路完壁式乳突根治术
治疗效果
安全性
middle ear cholesteatoma
radical mastoidectomy with enlarged facial recess approach
treatment effect
safety
