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目的:分析慢性化脓性中耳炎手术治疗方法及临床效果。方法:随机从病例库调取2014年1月至2015年6月黔南州人民医院收录的50例慢性中耳炎患者手术资料;结合颞骨高分辨率计算机断层扫描(CT)或听力检查,掌握患者的具体病症情况;于18个月后回访调查,对比治疗前后患者症状康复情况;按照痊愈、显效、有效、无效等4个标准进行划分,对本次手术治疗进行评估。结果:慢性化脓中耳炎以流脓、听力下降、患侧头痛、鼓膜穿孔、耳鸣、眩晕等为主要症状,50例均为多种症状合并;经过针对性手术治疗,本次痊愈36例,显效10例,有效3例,无效1例;1例由于病况严重,听觉系统严重受损,治疗无效。结论:手术治疗慢性化脓性中耳炎效果显著,需结合患者具体病况选择手术方式,确保疗效。
Objective: To analyze the surgical treatment of chronic suppurative otitis media and its clinical effect. Methods: Fifty patients with chronic otitis media collected from Qiannanzhou People’s Hospital from January 2014 to June 2015 were randomly selected from the case database. Combined with temporal bone CT scan or hearing test, the patients’ Specific disease conditions; 18 months after the return visit survey, compared with patients before and after treatment of symptoms recovery; in accordance with the cure, effective, effective, ineffective and other four criteria for the division, the operation evaluation. Results: Chronic suppuration of otitis media with pus, hearing loss, ipsilateral headache, tympanic membrane perforation, tinnitus, dizziness and other symptoms as the main symptoms, 50 cases were a variety of symptoms were merged; after targeted surgery, the recovery of 36 cases, markedly effective 10 Cases, effective in 3 cases, 1 case of ineffective; 1 case due to serious illness, severe hearing system damage, treatment ineffective. Conclusion: Surgical treatment of chronic suppurative otitis media significant effect, the need to combine the specific conditions of patients choose surgery to ensure efficacy.