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一些慢性化脓性中耳炎可长期干耳,持续几月至几年。对于此时是否可立即行听力重建手术,一直有争论。多数学者认为此时炎症已消失,无需抗炎治疗,可立即进行手术。但有人认为此时或有明显炎症,或鼓窦和上鼓室内有隐藏的炎症,必须先抗炎治疗之后再手术。为探讨这个问题,作者对95例慢性化脓性中耳炎长期干耳的病人进行了研究。干耳时间为1月~1年,年龄为15~60岁。术前诊断中鼓室炎33例,上鼓室炎44例,中、上鼓室炎18例。对35例术中取出的中耳骨质和粘膜进行了形态、组织化学研究。共分为3组: 第一组,50人,术中见鼓窦和上鼓室内无分泌物。肉眼见一些病人粘膜充血、肥厚,另一些
Some chronic suppurative otitis media can be long-term dry ears, lasting several months to several years. There is always controversy over whether hearing reconstruction surgery can be performed immediately. Most scholars believe that inflammation has disappeared at this time, without anti-inflammatory treatment, surgery can be carried out immediately. However, some people think that at this time or obvious inflammation, or the sinuses and drums hidden hidden inflammation, you must first anti-inflammatory treatment before surgery. To explore this issue, the authors studied 95 patients with long-term dry ears of chronic suppurative otitis media. Dry ear time for January to 1 year, aged 15 to 60 years old. 33 cases of tympanitis in preoperative diagnosis, tympanitis in 44 cases, middle and upper tympanitis in 18 cases. The morphology and histochemistry of 35 cases of middle ear bone and mucosa removed during operation were studied. Divided into 3 groups: the first group, 50 people, intraoperative see sinus and drum no secretions indoor. Some people see the naked eye mucosal congestion, hypertrophy, and others