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目的探讨单侧听力耳中耳炎(包括胆脂瘤)患者施行手术治疗的效果及经验。方法回顾性分析2000年5月~2013年1月期间手术治疗的13例单侧听力耳中耳炎患者的手术和随访资料,并与2000年前的15例患者(以下称“前组”)结果比较。结果随访6~156个月,平均(84.55±56.84)个月。随访结束时13例均为干耳。术后气骨导差(GAP)、气导(AC)较术前降低,差异有统计学意义(P<0.01)。手术有效率为92.31%(12/13),其中成功11例(84.62%),包括GAP<10 d B HL 4例;11~20 d B HL7例;其余2例中,1例有效,1例听力无变化。术前、术后骨导(BC)差异无统计学意义(P>0.05)。术后GAP差值>20 d B HL者10例(76.92%),>30 d B HL者4例(30.77%),而“前组”分别为6例(40.00%)和2例(13.33%),较“前组”有所提高。结论单侧听力耳中耳炎手术能获得安全和有效的结果,患者生活质量提高。
Objective To investigate the effect and experience of surgical treatment of unilateral otitis media with otitis media (including cholesteatoma). Methods The data of operation and follow-up of 13 patients with unilateral otitis media otitis media with surgical treatment from May 2000 to January 2013 were retrospectively analyzed. Compared with 15 patients (hereinafter referred to as “the former group”) before 2000, Results comparison. The results were followed up for 6 to 156 months, with an average of (84.55 ± 56.84) months. All 13 cases were dry ears at the end of follow-up. Postoperative GAP and AC decreased compared with that before operation, with significant difference (P <0.01). The operative efficiency was 92.31% (12/13), of which 11 cases (84.62%) were successful, including 4 cases with GAP <10 d B HL and 11 cases with B HL 11 ~ 20 d. Among the remaining 2 cases, 1 was effective and 1 No change in hearing. Preoperative and postoperative bone conduction (BC) difference was not statistically significant (P> 0.05). There were 10 cases (76.92%) of patients with B HL after> 20 days and 4 cases (30.77%) of patients with> 30 days B HL, while 6 cases (40.00%) and 2 cases 13.33%) than the “former group” has increased. Conclusion One-side ear otitis media surgery can obtain safe and effective results, and the quality of life of patients is improved.