摘要
目的探讨不同耳状态(湿耳与干耳)的慢性化脓性中耳炎患者行骨室成形术后鼓膜愈合情况及听力效果,为临床选择最佳手术时机提供理论依据。方法选取2022年05月至2023年11月期间,在南阳市中心医院耳鼻咽喉科接受骨室成形术治疗的90例慢性化脓性中耳炎患者作为研究对象,根据术前耳状态分为湿耳组(31例)和干耳组(59例)。记录患者基本信息,评估中耳黏膜状态,并于术前及术后3个月进行鼓膜愈合率、纯音听阈测试、生活质量评估及并发症统计。结果术后3个月,湿耳组与干耳组的鼓膜愈合率分别为84.75%和87.10%,差异无统计学意义(P>0.05)。与术前相比,两组患者术后的气导听阈和气骨导差均显著降低(P<0.05),而术后组间差异无统计学意义(P>0.05)。与术前相比,两组患者术后的生活质量均显著提高(P<0.05),而术后组间差异无统计学意义(P>0.05)。湿耳组和干耳组的并发症总发生率分别为6.45%和5.08%,差异无统计学意义(P>0.05)。结论术前耳状态对手术效果无显著影响,骨室成形术可作为治疗慢性化脓性中耳炎患者的有效手段,值得在临床中进一步推广。
Objective To investigate the healing of the tympanic membrane and hearing effect in patients with chronic suppurative otitis media with different ear states(wet ear and dry ear)after bone chamber reconstruction surgery,and provide theoretical basis for selecting the best surgical timing in clinical practice.Methods A total of 90 patients with chronic suppurative otitis media who underwent bone room reconstruction surgery in the Otolaryngology Department of Nanyang Central Hospital from May 2022 to November 2023 were selected as the study subjects.They were divided into a wet ear group(31 cases)and a dry ear group(59 cases)based on their preoperative ear condition.Record basic patient information,evaluate the condition of the middle ear mucosa,and perform tympanic membrane healing rate,pure tone hearing threshold test,quality of life assessment,and complication statistics before and 3 months after surgery.Results Three months after surgery,the tympanic membrane healing rates of the wet ear group and dry ear group were 84.75%and 87.10%,respectively,with no statistically significant difference(P>0.05).Compared with preoperative levels,the postoperative air conduction hearing threshold and air bone conduction difference in both groups of patients were significantly reduced(P<0.05),while there was no statistically significant difference between the postoperative groups(P>0.05).Compared with preoperative,the quality of life of both groups of patients significantly improved after surgery(P<0.05),while there was no statistically significant difference between the postoperative groups(P>0.05).The total incidence of complications in the wet ear group and dry ear group was 6.45%and 5.08%,respectively,with no statistically significant difference(P>0.05).Conclusions Preoperative ear condition has no significant effect on surgical outcomes,and osteoplasty can be an effective treatment for patients with chronic suppurative otitis media,which is worthy of further promotion in clinical practice.
作者
王英凯
晁亚
WANG Yingkai;CHAO Ya(Department 2 of Otolaryngology,Nanyang Central Hospital,Nanyang,Henan,473000)
出处
《航空航天医学杂志》
2025年第6期649-651,共3页
Journal of Aerospace medicine
关键词
慢性化脓性中耳炎
骨室成形术
鼓膜愈合
听力效果
耳状态
chronic suppurative otitis media
osteoporosis
tympanic membrane healing
hearing effect
ear status
