不同术式治疗胆脂瘤型中耳炎的临床疗效对比分析

目的：对比应用不同术式治疗胆脂瘤型中耳炎的临床疗效，分析其差异。方法将该院100例胆脂瘤型中耳炎患者分为两组，每组50例，其中对照组应用开放式乳突根治术进行治疗，试验组应用完璧式乳突根治术，观察并比较两组患者术后临床疗效。结果试验组患者经过完璧式乳突根治术治疗后，气导听阈（26．89±7．23）dBHL和气骨导差（12．54±3．78）dBHL均明显低于经过开放式乳突根治术治疗的对照组患者的气导听阈（41．38±10．56）dBHL和气骨导差（22．57±5．96）dBHL，差异有统计学意义（P＜0．05）；经过不同术式治疗后，试验组胆脂瘤型中耳炎患者治疗总有效率（92．00％）明显高于对照组总有效率（64．00％），差异有统计学意义（P＜0．05）。结论完璧式乳突根治术是治疗胆脂瘤型中耳炎的一种术式，可有效修复破损鼓膜，最大程度上恢复患者听力，有助于患者疾病的恢复，提高患者生活质量。

Comparative clinical efficacy of different surgical treatment on cholesteatoma otitis media

Objective To compare the clinical efficacy of different surgical treatment on cholesteatoma otitis media and analy‐sis its differences .Methods Totally 100 cases of patients with cholesteatoma otitis media in hospital were divided into two groups , 50 cacse in each group ,the control group used open mastoidectomy for treatment ,the experimental group used complete bi‐style mastoidectomy ,and the postoperative clinical efficacy were observed .Results The experimental group patients after radical mas‐toidectomy complete bi‐style treatment ,air conduction hearing threshold (26 .89 ± 7 .23)dBHL and gas bone conduction (12 .54 ± 3 .78)dBHL were significantly lower than after open radical mastoidectomy treatment of patients in the control group (41 .38 ± 10 .56)dBHL and gas bone conduction (22 .57 ± 5 .96)dBHL(P<0 .05);after different surgical treatment ,the cholesteatoma otitis media total efficiency (92 .00% ) of experimental group was significantly higher than control group (64 .00% ) ( P< 0 .05 ) . Conclusion The complete bi‐style mastoidectomy is the treatment of cholesteatoma otitis media ,which can effectively repair dam‐aged eardrum ,restore patient hearing to the maximum extent ,help to restore patient′s disease and improve the quality of life of pa‐tients .