外伤性鼓膜穿孔118例的临床治疗结果分析

目的回顾性总结外伤性鼓膜穿孔的原因、分析早期纯音测听检测结果及临床治疗结果,为临床治疗提供指导。方法对2001年5月～2010年5月间诊治的具有完整临床资料的118例外伤性鼓膜穿孔进行回顾性分析。结果外伤性鼓膜穿孔的原因间接损伤多于直接损伤,早期纯音测听检测结果听力损害以轻中度传导性聋为主,治疗结果鼓膜穿孔大多可愈合,但听力恢复正常较少。结论各种外伤所致鼓膜穿孔时,同时可能损伤中耳、内耳,分析早期的受伤耳纯音测听检测结果的听力损害程度、类型,可以帮助指导临床治疗。

Clinical analysis of 118 cases with traumatic tympanic membrane perforation

Objective To retrospectively review traumatic tympanic membrane perforation,analyze the early pure tone audiometry test results and clinical outcomes and provide guidance for clinical treatment. Methods Retrospectively analyzed diagnosis and treatment from May 2001 to May 2010,with complete clinical data of 118 cases of traumatic tympanic membrane perforation. Results The indirect injury of traumatic tympanic membrane perforation were more than direct damage,early pure tone audiometry hearing damage was mainly mild to moderate conductive hearing loss,treatment results of tympanic membrane perforation were mostly healed,but the healed hearing with normal level was less. Conclusions All kinds of trauma caused by perforation of tympanic membrane,as well as with damage to the middle ear,inner ear.Analysis of early degree of hearing loss,type and injured ear pure tone audiometry test results can guide clinical treatment.