完璧式乳突切除术治疗中耳胆脂瘤对患者听力及生活质量的影响

doi:10.3969/j.issn.1671-7171.2022.11.026

Abstract
Figure/Table
References (14)
Related Citation (15)

Download: PDF (1191 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To investigate the effect of canal wall up mastoidectomy (CWUM) on hearing and quality of life of patients with middle ear cholesteatoma (MEC). 【Methods】A total of 80 MEC patients admitted to Ankang Certral Hospital from August 2018 to August 2021 were selected and divided into observation group and control group according to different treatment methods, with 40 patients in each group. The observation group was treated with CWUM, and the control group was treated with open tympanoplasty. The clinical efficacy, hospitalization time, hearing improvement time, effusion disappearance time, operation cost, preoperative and postoperative quality of life, pure tone test results of the two groups were compared. 【Results】The total effective rate of the observation group was 95.00%, which was significantly higher than that of the control group (77.50%, P<0.05); The time of hospitalization, hearing improvement and effusion disappearance in the observation group were shorter than those in the control group (P<0.05);The improvement of air conduction (AC), bone conduction (BC) and air-bone gap (ABG) in the observation group after operation was better than that before operation and after operation in the control group (P<0.05); The scores of physical symptoms, utilization of medical resources, emotional disorder and life restriction in the observation group were higher than those before and after the operation in the control group (P<0.05). 【Conclusion】 CWUM treatment of MEC can significantly shorten the hospitalization time, improve the hearing of patients, and improve the clinical efficacy and quality of life of patients.

Key words： Cholesteatoma,Middle Ear/SU Hearing Quality of Life

Received: 28 June 2022

PACS:

R764.21

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LUO Zhen-feng
	YANG Hang
	LI Heng

Cite this article:

LUO Zhen-feng,YANG Hang,LI Heng. Effect of Canal Wall Up Mastoidectomy on Hearing and Quality of Life of Patients with Middle Ear Cholesteatoma[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(11): 1691-1693.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.11.026 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I11/1691

[1] MAHAJAN T,DASS A,GUPTA N,et al.Bacteriological profile in attico-antral type of chronic suppurative otitis media[J].Indian J Otolaryngol Head Neck Surg,2019,71(2):1412-1421.
[2] YOON Y H,LEE J B,CHUNG J H,et al.Cochlear implantation in patients with chronic suppurative otitis media:Surgical outcomes and a management algorithm[J].Audiol Neurootol,2020,25(3):151-157.
[3] 王杰,王桑,孙雅静.完壁式乳突切除术联合鼓室成形术治疗慢性化脓性中耳炎的疗效分析[J].中国眼耳鼻喉科杂志,2018,18(1):36-39.
[4] 中华医学会耳鼻咽喉头颈外科学分会耳科学组,中华耳鼻咽喉头颈外科杂志编辑委员会耳科组.中耳炎临床分类和手术分型指南(2012)[J].中华耳鼻咽喉头颈外科杂志,2013,48(1):5.
[5] 谭东辉,邓忠,罗铭华,等.开放式鼓室成形术与改良乳突根治术联合治疗慢性化脓性中耳炎的疗效分析[J].中国耳鼻咽喉颅底外科杂志,2016,22(6):497-499.
[6] 宋戎,焦玉琴,陶征.健听青年短纯音ABR测试结果分析[J].中国听力语言康复科学杂志,2018,16(6):445-447.
[7] 方敏,李朝军,高明华,等.慢性化脓性中耳炎手术疗效调查量表的应用分析[J].重庆医学,2015,44(6):766-768.
[8] 殷显辉,邹剑.耳镜下鼓膜置管术联合腺样体切除术治疗儿童分泌性中耳炎的疗效[J].医学临床研究,2019,36(6):1081-1083.
[9] HSIEH C Y,CHANG C J,SUN C H,et al.Tympanoplasty with or without balloon eustachian tuboplasty for chronic suppurative otitis media with obstructive eustachian tube dysfunction[J].Otol Neurotol,2020,41(8):1077-1083.
[10] 谷长宏,王升举.完壁式乳突根治并鼓室成形术治疗慢性化脓性中耳炎的临床有效性分析[J].临床和实验医学杂志,2021,20(1):104-107.
[11] 秦梦瑶,吴学文,龙梦琦,等.中耳胆脂瘤及慢性化脓性中耳炎患者乳突根治术中面神经裸露及危险因素分析[J].中国耳鼻咽喉颅底外科杂志,2020,26(1):32-36.
[12] 莫彩银,王雪梅,黄薇.开放式乳突改良根治并鼓室成形术治疗慢性化脓性中耳炎的效果观察与护理[J].护理实践与研究,2019,16(7):107-108.
[13] 王洁,赵真,吴元庆,等.内镜与显微镜下鼓膜修补术治疗慢性化脓性中耳炎患者的疗效及安全性对比分析[J].中国耳鼻咽喉头颈外科,2021,28(11):694-696.
[14] 汪祖益,张瑜.慢性活动期化脓性中耳炎咽鼓管功能障碍一期鼓室成形术后鼓膜愈合率及听力恢复情况分析[J].临床和实验医学杂志,2018,17(16):1764-1766.

[1]	. [J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(8): 1251-1253.