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目的:探讨结核性中耳乳突炎的临床特点及治疗方法。方法:回顾性分析13例结核性中耳乳突炎患者的临床资料。治疗方法采取单纯手术治疗1例,单纯抗结核治疗1例,手术结合抗结核治疗11例。结果:1例行单纯手术患者在术后7个月复发,行抗结核药物治疗后随访7个月未见复发;余12例未见复发。结论:对于结核性中耳乳突炎,正规抗结核治疗是最基本的治疗方法,手术可清除中耳内炎性肉芽组织及死骨,缩短病程。
Objective: To investigate the clinical features and treatment of tuberculosis otitis media. Methods: The clinical data of 13 cases of tuberculosis otitis media were retrospectively analyzed. Treatment of simple surgery in 1 case, simple anti-TB treatment in 1 case, surgery combined with anti-TB treatment in 11 cases. Results: Only one patient underwent surgery at 7 months after operation. No recurrence occurred after 7 months of follow - up after anti - TB drug treatment. No recurrence occurred in the other 12 cases. Conclusion: For tuberculous otitis media, regular anti-tuberculosis therapy is the most basic treatment. Surgery can remove inflammatory granulation tissue and sequestrum and shorten the course of disease.