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目的比较开放式与完璧式乳突根治术在胆脂瘤型中耳炎治疗中的应用效果。方法选取98例胆脂瘤型中耳炎患者为研究对象,随机将其分为观察组与对照组,每组49例。对照组进行开放式乳突根治术,观察组采用完璧式乳突根治术,比较两组治疗前、后气骨导差、气导听阈值及临床疗效。结果治疗前两组气骨导差值、气导听阈值水平对比组,差异未见统计学意义(P>0.05);治疗后观察组气骨导差值、气导听阈值低于对照,差异有统计学意义(P<0.05);经不同术式治疗后,观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论与开放式乳突根治术治疗胆脂瘤型中耳炎相比,完璧式乳突根治术治疗效果更显著,可最大程度恢复患者听力,修复破损鼓膜,改善患者生活质量,值得临床应用。
Objective To compare the effect of open and complete mastoidectomy in the treatment of cholesteatoma otitis media. Methods A total of 98 cases of cholesteatoma otitis media were selected as study subjects and randomly divided into observation group and control group, 49 cases in each group. The control group was treated with radical mastoidectomy. The observation group was treated with complete mastoidectomy. The difference of airway conduction, airway conduction threshold and clinical curative effect between the two groups before and after treatment were compared. Results There was no significant difference between the two groups before treatment for the difference of air-conduction and air-conduction threshold (P> 0.05). After treatment, the differences of air-conduction and air-conduction were lower than those of control (P <0.05). After different surgical procedures, the total effective rate of observation group was higher than that of control group (P <0.05). Conclusions Compared with open mastoidectomy for cholesteatoma otitis media, radical mastoidectomy is more effective in treating patients with hearing loss, repairing the damaged tympanic membrane and improving the quality of life of patients, which is worthy of clinical application.