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我院于1988年1月开展联合进路鼓室成形术。现将随访已达两年的14例报告如下。临床资料一般资料:14例中男、女各7例。年龄17～46岁。间歇性耳流脓史10～20年,手术时中耳潮湿或少量脓液。术前听力平均语言频率气骨导差≤20dB 4例,≤30dB 6例,>30dB4例。咽鼓管通畅。9例鼓膜紧张部中央性穿孔,为上鼓室、鼓窦或乳突蜂房炎性病灶;5例鼓膜边缘性穿孔,为上鼓室局限性小胆脂瘤。手术主要器械为显微镜、高速微型耳科电钻、切割钻头、金钢石钻头、双极电凝器等。
Our hospital in January 1988 to carry out combined approach tympanoplasty. Now follow-up has reached two years of 14 cases are as follows. General information on clinical data: 14 cases of male and female in 7 cases. Age 17 to 46 years old. Intermittent ear pus history of 10 to 20 years, the operation of the middle ear wet or a small amount of pus. The average frequency of preoperative hearing was 4 cases with ≤ 20 dB of air conduction, 6 cases ≤ 30 dB, and 4 cases> 30 dB. Eustachian tube unobstructed. 9 cases of central tympanic membrane perforation of the Ministry of tympanic membrane for the tympanic cavity, the drum or the mastoid hocks inflammatory lesions; 5 cases of tympanic margin perforation, the upper tympanic small cholesteatoma. The main surgical instruments for the microscope, high-speed micro-ear drills, cutting bits, diamond bits, bipolar coagulators.