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目的:探讨研究儿童胆脂瘤型中耳炎患者的临床主要特征及针对性治疗方法,以期能为提高儿童胆脂瘤型中耳炎患者的临床诊治水平。方法:选择本院2001年9月至2011年3月间所收治的胆脂瘤型中耳炎患儿77例的临床资料进行了回溯式分析研究。结果:患儿的主要特征为发病年龄小、多数表现为患耳流脓及听力下降等症状;临床治疗均痊愈出院,术中均未有显著并发症发生处理,术后不存在面瘫、眩晕、耳鸣等症状。术后听力复查,显示听力改善患者为69例(89.6%)。结论:临床宜根据患儿胆脂瘤病变范围、咽鼓管情况等临床情况的程度选择不同治疗方式,通过早期症状发现,临床及时确诊、准确选择治疗方式的流程,最大限度的治愈胆脂瘤型中耳炎患儿并改善患儿听力状况。
Objective: To study the clinical characteristics and targeted treatment of cholesteatoma otitis media in children, in order to improve the clinical diagnosis and treatment of cholesteatoma otitis media in children. Methods: The clinical data of 77 children with cholesteatoma otitis media who were admitted to our hospital from September 2001 to March 2011 were retrospectively analyzed. Results: The main characteristics of children were the younger age of onset, most of them showed symptoms such as suppurative purulence and hearing loss. All the patients were cured and discharged from the hospital. No significant complications occurred during operation. There were no facial paralysis, dizziness and tinnitus Other symptoms. Postoperative hearing reexamination showed that 69 cases (89.6%) had hearing improvement. Conclusion: According to the extent of cholesteatoma range of patients with cholesteatoma, eustachian tube situation and other clinical conditions, choose different treatment methods, through the early symptoms found clinically timely diagnosis, accurate selection of treatment flow, the maximum cure of cholesteatoma Type otitis media and improve children’s hearing status.