乳突切除术治疗分泌性中耳炎

目的：探讨乳突切除术治疗分泌性中耳炎的疗效。方法：回顾性分析22例（24耳）行乳突切除手术的分泌性中耳炎患者,其中行完壁式并面隐窝开放手术20耳,开放式手术4耳,同期行鼓膜切开置管术3耳。术后6个月拔管,测试术前、术后的听力。结果：所有患者术后均未出现听力下降,19耳有不同程度的听力提高,鼓室导抗图为A型曲线者17耳,C型曲线者7耳。术后随访6-36个月,未见中耳炎复发。结论：对反复发作、长期迁延经治疗无效的分泌性中耳炎,乳突切除术可改善乳突、鼓窦、鼓室和咽鼓管的通气引流,减少分泌性中耳炎的复发。

Mastoidectomy in the treatment of secretory otitis media

Objective：To investigate mastoidectomy efficacy in treating secretory otitis media.Method：Retrospective analysis of 22cases（24ears）with chronic secretory otitis media,20ears were treated with intact canal wall mastoidectomy combined with facial recess opening,4ears were treated with opened mastoid surgery,3ears simultaneously accepted tube insertion.Ventilation tube was pulled out in 6months.Hearing test was inspected before and after surgery.Result：None of the patients had hearing loss,19ears had varying degrees of hearing improvement.Seventeen ears were type A tympanometry curve,7ears were C-shaped curve.No recurrence of otitis media was observed after 6-36 months followed-up.Conclusion：Mastoidectomy may improve eustachian tube function and decrease the risk of recurrence of secretory otitis media.