摘要
目的 :探讨耳甲腔成形术对乳突根治术疗效的影响。方法 :对 133耳做耳甲腔成形术 (成形组 )及 187耳未做耳甲腔成形术 (对照组 )的乳突根治术患者 ,进行疗效对比。结果 :成形组术后干耳时间平均为 5 .1周 ,术腔肉芽的发生率为 6 .4% ,仅 1例术后因残余胆脂瘤再次手术 ;对照组平均干耳时间为 7.5周 ,术腔肉芽的发生率为2 3.4% ,有 3例术后胆脂瘤复发。成形组无一例在冷空气环境中出现头晕、耳鸣、耳部不适等症状。结论 :耳甲腔成形术可缩短开放式乳突根治术的干耳时间 ,降低肉芽的发生率 ,促进乳突腔的上皮化 。
Objective:The purpose of this study was to compare the results of mastoidectomy with the plasty of the cavity of auricular concha and the counterpart of mastoidectomy without it at after for 2~6 years followup.Method:A retrospective analysis of 320 choleseatoma cases,surgically treated at the department of otorhinolaryngology head and neck surgery,Renji hospital affiliated to Shanghai No.2 Medical Univercity,over a 9 year period,is reported.Result:A satisfactory results from the follow up implicated that this procedure was important for epithelization of the mastoid cavity and the attaining of dry ear after mastoidectomy.Conclusion:The plasty of the cavity of auricular concha has an emphasized role in the post mastoidectomy and is clinically worthy to be applicated.
出处
《临床耳鼻咽喉科杂志》
CSCD
2000年第4期152-153,共2页
Journal of Clinical Otorhinolaryngology
关键词
耳甲腔成形术
乳突根治术
胆脂瘤型中耳炎
Plasty of the cavity of auricular concha Mastoidectomy Cholesteatomal otitis media
