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目的:探讨手术治疗对儿童胆脂瘤型中耳炎听觉功能的影响。方法:回顾性分析5年间行手术治疗的62例儿童中耳炎患者。其中60例为后天性胆脂瘤,2例为先天性胆脂瘤。48例病变广泛需行开放式(去除外耳道后壁)乳突凿开术,12例上鼓室胆脂瘤者行完壁式(保留外耳道后壁)的乳突凿开术,2例病变位于中耳腔者行鼓室探查术。结果:手术治疗后42例听力提高,13例维持原有听力,7例听力下降。其中,3例由于病变复发行二次手术。结论:本研究提示儿童胆脂瘤型中耳炎有较强的侵袭性,为提高治疗效果需加强术前分析、完善手术操作技术及术后随诊。
Objective: To investigate the effect of surgical treatment on the auditory function of cholesteatoma otitis media in children. Methods: Sixty-two children with otitis media who underwent surgery were retrospectively analyzed. 60 cases of acquired cholesteatoma, 2 cases of congenital cholesteatoma. In 48 patients, open mastoidectomy (removal of posterior wall of external auditory canal), laparotomy of 12 cases of upper tympanic cholesteatoma (the posterior wall of external auditory canal) Ear cavity line tympanic exploration. Results: After the operation, the hearing of 42 cases was improved, the original hearing was maintained in 13 cases and the hearing loss in 7 cases. Among them, three cases of secondary recurrence due to disease surgery. Conclusion: This study suggests that children with cholesteatoma otitis media have strong invasiveness, in order to improve the therapeutic effect need to strengthen the preoperative analysis, improve the surgical techniques and follow-up after surgery.