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反复发作性中鼓室炎治疗困难。保守疗法效果常不佳,这与耳局部长期滴药细菌对药物产生耐药性、机体发生变应性改变及咽鼓管功能障碍等多种因素有关。作者们曾单纯采用鼓窦冲洗分流,效果亦不佳。本文报告用鼓窦引流加鼓室内病灶清除和Ⅰ期完成鼓膜成形法对49例患者所进行的治疗观察。术前均先清除鼻腔、鼻窦和鼻咽部病灶,检测咽鼓管功能通畅。大多数鼓膜穿孔为中央性(穿孔约为鼓膜面积的2/3)和接近鼓环的后都穿孔。
Repeated episodes of tympanitis in the treatment of difficulties. Conservative therapy often poor results, which is part of the long-term drop ear bacteria drug resistance to drugs, the body occurs allergic changes and eustachian tube dysfunction and other factors. The authors have used purely sinus rinse shunt, the effect is not good. This article reports the treatment of 49 patients treated with drainage of the sinuses and the removal of the lesions in the interior of the drum and the completion of the tympanoplasty in stage I. Preoperative removal of the nasal cavity, nasal sinus and nasopharyngeal lesions, detection of eustachian tube patency. Most of the tympanic membrane perforation is central (perforated about 2/3 of the area of the tympanic membrane) and posterior to the drum ring are perforated.