慢性中耳炎患者的逆侧耳
Kourosh Eftekharian1,2, Ali Eftekharian1,3, Farhad Mokhtarinejad1,3
1Clinical research development unit of Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
概括
双边慢性中耳炎 (COM) 在简单的耳膜穿孔 (PTP) 中比胆固醇瘤更常见. 一只耳朵的大孔并不能预测另一只耳朵的问题.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术病理学手术病理学
背景情况:
- 慢性中耳炎 (COM) 是一种持续的中耳感染.
- 对于COM而言,手术是常见的,需要对两只耳朵进行评估.
- 了解对侧耳参与有助于全面的患者管理.
研究的目的:
- 评估接受COM手术的患者对侧耳异常的患病率和性质.
- 为了比较胆固醇瘤和非胆固醇瘤COM (帕斯张力穿孔 - PTP) 之间的对侧耳朵发现.
主要方法:
- 在三个三级医院进行了一项横截面研究.
- 在接受COM手术的228名患者中,对对侧耳异常进行了检查.
- 耳鼻显微镜检查用于识别病理.
主要成果:
- 近50%的患者有正常的逆侧耳朵.
- 在女性中,Pars tensa穿孔 (PTP) 更常见,在男性中,胆固醇瘤更常见.
- 与PTP患者 (45.3%正常) 相比,胆固醇瘤患者的逆侧孔径显著减少 (67.4%正常).
- 在PTP组的对侧耳朵中经常出现大孔 (>50%).
结论:
- 双边参与是PTP的特征,而不是胆固醇瘤.
- 耳膜穿孔往往呈现为一个大的缺陷.
- 一只耳朵的穿孔大小不能可靠地预测对侧耳病理.
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