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隐匿性中耳炎的早期手术干预
作者单位:西安交通大学第一附属医院耳鼻咽喉-头颈外科 陕西西安710061(王林古),陕西电子409医院耳鼻咽喉科 陕西宝鸡721006(段新虎,李兰妮),南京大学医学院附属鼓楼医院耳鼻咽喉-头颈外科 江苏南京210008(高下)
摘    要:
目的:探讨隐匿性中耳炎的早期手术干预措施。方法:回顾分析19例隐匿性中耳炎患者的病例资料。结果:19例患者均无耳漏病史,发病时间只有几周甚至几天,而中耳腔内却形成不可逆性病变,甚至已伴有组织结构破坏。手术清除病变,解除引流通道的阻塞。随访6个月至3年,病变无复发。结论:隐匿性中耳炎应作为慢性中耳炎的特殊分型,不应忽视。若按早期中耳炎治疗病情不能稳定甚至加重,并经CT证实中耳乳突腔有填塞表现者,无论是否有鼓膜穿孔,均应行早期外科手术干预。

关 键 词:中耳炎  隐匿性  外科手术

Surgical treatment for the secret tympanitis at an early stage
WANG Lin-gu,DUAN Xin-hu,LI Lan-ni,GAO-Xia. Surgical treatment for the secret tympanitis at an early stage[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2007, 0(1)
Authors:WANG Lin-gu  DUAN Xin-hu  LI Lan-ni  GAO-Xia
Affiliation:WANG Lin-gu1,DUAN Xin-hu2,LI Lan-ni2,GAO-Xia3
Abstract:
Objective: To investigate the classification of secret tympanitis and surgical treatment at an early stage.Method: The clinical data of 19 cases of secret tympanitis were reviewed.Results: By surgery,the lesions were removed and ventilation of the middle ear was improved.During a follow-up of 6 months to 3 years,no one relapsed.Conclusion: No matter whether there is a tympanic membrane perforation or not,secret tympanitis should be subjected to surgical treatment at an early stage.
Keywords:Otitis media  Secret  Surgical procedures  operative
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