鼓膜置管治疗分泌性中耳炎后鼓膜穿孔及复发危险因素的分析

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1、授予单位代码10089学号或申请号20153056中国图书分类号R764.21HebeiMedicalUniversity硕士学位论文专业学位鼓膜置管治疗分泌性中耳炎后鼓膜穿孔及复发危险因素的分析研究生：杨艳导师：王宝山教授专业：耳鼻咽喉科学二级学院：河北医科大学第二医院2018年3月目录中文摘要······································································································

2、····1英文摘要··········································································································3英文缩写··········································································································5研究论文鼓膜置管治疗分泌性中耳炎后鼓膜穿孔及复发

3、危险因素的分析前言··········································································································6材料与方法······························································································6结果·································

4、·········································································8附表··········································································································10讨论·································································

5、·········································12结论··········································································································18参考文献······························································································

6、····18综述分泌性中耳炎的鼓膜置管治疗··························································22致谢··················································································································29个人简历················································

7、··························································30中中中文文文文摘摘摘摘要要要要鼓膜置管治疗分泌性中耳炎后鼓膜穿孔及复发危险因素的分析摘要要要目的:::探讨鼓膜置管治疗分泌性中耳炎后鼓膜遗留穿孔及复发的危险因素。方法::::回顾性分析2014年10月～2017年2月收治的50例（66耳）分泌性中耳炎患者的临床资料，穿孔组10耳（15.2%），未穿孔组56耳（84.8%）；复发组17耳（25.8%），未复发组49耳（74.2%）。

8、所有患者均使用Ｔ型管行鼓膜置管治疗，分析可能影响鼓膜穿孔及复发的危险因素，包括性别、年龄、病程、鼓膜穿刺、鼓膜表象、中耳腔积液性质、是否切除腺样体、是否拔管及留置管时间。结果::::1.本次研究患者50例共66耳，其中痊愈39耳（59.1%），穿孔10耳（15.2%），复发17耳（27.8%），近少半数的患耳术后未痊愈。2.人工拔除T型管的患者共38耳（57.6%)，其中穿孔9耳（23.7%）；自然脱管患者共28耳（42.4%)，其中穿孔1耳（3.6%），两组穿孔率相比差异有统计学