耳内镜下鼓膜置管术与鼓膜穿刺术治疗分泌性中耳炎疗效对比研究  

Endoscopic tympanometry and tympanostomy for the treatment of secretory otitis media

作　　者：李建玲 赵广辉 刘杰[1] Li Jianling;Zhao Guanghui;Liu Jie(Department of NET,Baoji People’s Hospital(Baoji 721000))

机构地区：[1]陕西省宝鸡市人民医院耳鼻喉科,宝鸡721000

出　　处：《陕西医学杂志》2018年第8期1023-1025,1035,共4页Shaanxi Medical Journal

摘　　要：目的:探讨耳内镜下鼓膜置管术和鼓膜穿刺术治疗分泌性中耳炎疗效差异。方法:108例分泌性中耳炎患者,将其分为两组,每组54例,观察组采用耳内镜下鼓膜置管术,对照组采用耳内镜下鼓膜穿刺术,观察两组的治疗总有效率,治疗情况及并发症发生率。结果:观察组的治疗总有效率为94.45%,明显高于对照组74.07%(P<0.05);观察组中耳积液时间为(8.04±1.02)d,完全愈合时间为(10.12±3.24)d,均少于对照组(P<0.05);治疗后观察组患者耳峰压值、静态声顺值均明显高于对照组,两组间差异有统计学意义(P<0.05);治疗前两组语频区气导平均听阈比较差异无统计学意义(P>0.05),治疗6个月后观察组语频区气导平均听阈为(18.24±3.28)dB,低于对照组(26.24±3.57)dB(P<0.05);观察组发生2例中耳感染,1例鼓膜穿孔,1例鼓室硬化,观察组和对照组的并发症发生率分别为7.41%,25.93%(P<0.05)。结论:耳内镜下鼓膜置管术治疗分泌性中耳炎疗效确切,创伤小,患者恢复快。Objective:To explore the differences in therapeutic efficacy of eardrum tympanostomy and tympanostomy for secretory otitis media.Methods:108 patients with secretory otitis media who were treated were collected and divided into two groups,54 in each group.The cases of the observation group were treated by eardrum tympanic membrane catheterization.The cases of the control group were treated by eardrum tympanostomy.The total treatment efficiency,treatment status and complication rate in the two groups were all observed.Results:The total effective rate of observation group was 94.45%,which was significantly higher than that of the control group(74.07%)(P<0.05).The middle ear effusion time in the observation group was(8.04±1.02)d,the complete healing time was(10.12±3.24)d,and compared with the control group,both were significantly shorter(P<0.05).After the treatment,the ear peak pressure and static sound value of the observation group were significantly higher than those of the control group,and there were significant differences between the two groups(P<0.05).There was no significant difference in the average hearing threshold of air conduction between the two groups before treatment(P>0.05).After 6 months of treatment,the airway mean hearing threshold of the observation group was(18.24±3.28)dB,and compared with the control group,which was lower than that of the control group(26.24±3.57)dB(P<0.05).In the observation group,there were 2 cases of middle ear infection,1 case of perforation of tympanic membrane,and 1 case of tympanosclerosis,and total clinical complication rate was 7.41%,and which was significant lower than the control group(25.93%)(P<0.05).Conclusion:Endoscopic tympanic tube placement for the treatment of secretory otitis media is effective,minimally invasive,and the patient recovers quickly.It has important clinical significance and is worthy of promotion.

关 键 词：伴渗出液中耳炎/治疗 鼓膜置管术/方法 鼓膜穿刺术/方法 对比研究 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]