鼓膜微波造孔治疗顽固性分泌性中耳炎疗效观察  

Flucticuli tympanostomy in the treatment of refractory secretory otitis media

作　　者：谢日林 张志平[1] 

机构地区：[1]阳高县人民医院,山西大同038100

出　　处：《临床医药实践》2016年第12期952-953,共2页Proceeding of Clinical Medicine

摘　　要：目的:分析耳内窥镜下微波鼓膜造孔和穿刺冲洗在儿童顽固性分泌性中耳炎治疗中的效果。方法:选取2012年1月—2014年1月期间收治的经保守治疗效果不佳的分泌性中耳炎患者92例作为研究对象,按治疗方法的不同,随机分为对照组和观察组,各46例,两组患者均给予药物治疗,对照组行鼓膜穿刺冲洗治疗,观察组行耳内窥镜下微波鼓膜造孔治疗,对两组患者的临床效果进行分析比较。结果:观察组有效率为97.83%,对照组有效率为78.26%,差异有统计学意义(P<0.05)。结论:儿童顽固性分泌性中耳炎在耳内窥镜下行微波鼓膜造孔治疗临床效果显著,具有操作方便、视野清晰、定位准确的特点。Objective：To investigate the therapeutic effect of flucticuli tympanostomy and tympanocentesi in the treatment of pediatric refractory secretory otitis media（SOM）. Methods：All 92 patients with refractory SOM were,on average,divided into two groups randomly：the control group and the flucticuli tympanostomy treatment group. Tympanocentesi and drug irrigation were used in the control group. Drug treatment and flucticuli tympanostomy were used in the flucticuli treatment group. The sta-tistics was used to compare the therapeutic effects of these two treatments. Results：The effective rate of flucticuli tympanostomy treatment group was 97. 83% ,which of the control group was 78. 26% . The results of two groups showed a significant differ-ence（P 〈 0. 05）. Conclusion：Flucticuli tympanostomy under ear endoscope could be applied on the treatment of refractory SOM,which was proved to be convenient and notraumatic.

关 键 词：分泌性中耳炎 微波 鼓膜造孔 鼓膜穿刺 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]