伴外耳道真菌病肉芽性鼓膜炎41例

目的探讨伴外耳道真菌病的慢性肉芽性鼓膜炎的临床诊断及治疗方法。方法对患有伴外耳道真菌病的肉芽性鼓膜炎者41例（43耳）应用耳内镜进行检查，清理外耳道，根据鼓膜不同特征病变采用搔刮、或/和钳取、化学烧灼，同时应用派瑞松外耳道涂布。结果所有患者中肉芽性鼓膜炎治愈41耳（95.3%），反复未愈2耳（2.3%），复发2耳（4.7%）；伴发的外耳道真菌病治愈39耳(90.7%)，反复未愈4耳（9.3%），复发4耳（9.3%）。其中同时未愈1耳，同时复发2耳。结论应用耳内镜能提高伴外耳道真菌病的慢性肉芽性鼓膜炎的诊断率，耳内镜下保守治疗及结合局部用含糖皮质激素的抗真菌药物治疗此病能取得良好疗效。

Granular myringitis with otomycosis in 41 cases

To investigate the diagnosis and treatment in granular myringitis with otomycosis. MethodsForty three ears of granular myringitis with otomycosis were detected and treated by oto endoscopy between May 2004 and February 2008. Scoraping, clippering and chemical cauterization were performed on the basis of clinical features. Simultaneously pevisone was sprayed over the external canal. ResultsThe cure rate was 95.3%(41/43) in granular myringitis and 90.7% (39/43)in otomycosis, and the recurrence rate was 4.7%(2/43) and 9.3%(4/43) with a follow up of more than 6 months. Conclusion Otoendoscopy can elevate the accuracy of diagnosis for granular myringitis with otomycosis, and it in combination with a topical anti fungal agent containing glucocorticods can give a satisfactory curative effect.