耳内镜下鼓膜置管或穿刺治疗慢性分泌性中耳炎的效果分析  

Effect analysis of endoscopic tympanic membrane catheterization or puncture for the treatment of chronic secretory otitis media

作　　者：黄开怀 HUANG Kai-huai(Department of Otolaryngology,Dongguan Eighth People’s Hospital,Dongguan 523320,China)

机构地区：[1]东莞市第八人民医院耳鼻咽喉科,523320

出　　处：《中国现代药物应用》2020年第12期10-13,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨耳内镜下鼓膜置管或穿刺治疗慢性分泌性中耳炎的效果分析。方法82例慢性分泌性中耳炎患者,随机分为观察组与对照组,各41例。对照组使用耳内镜下鼓膜穿刺治疗,观察组使用耳内镜下鼓膜置管治疗。比较两组临床疗效;并发症发生率;中耳积液时间、完全愈合时间及复发率;术前术后慢性耳病调查量表(CCES)评分及捏鼻鼓气法(Valsalva)评分。结果观察组治疗总有效率95.12%高于对照组的75.61%,差异有统计学意义(P<0.05)。观察组并发症发生率4.88%低于对照组的21.95%,差异有统计学意义(P<0.05)。观察组中耳积液时间(8.02±1.04)d、完全愈合时间(10.24±3.15)d短于对照组的(10.93±1.37)、(15.64±3.63)d,复发率2.44%低于对照组的21.95%,差异均有统计学意义(P<0.05)。术后,观察组CCES评分(56.94±7.37)分高于对照组的(47.21±9.06)分,Valsalva评分(2.17±0.95)分低于对照组的(2.98±1.04)分,差异有统计学意义(P<0.05)。结论耳内镜下鼓膜置管治疗慢性分泌性中耳炎的效果更佳,有助于长期维持鼓室内外气压平衡,促进咽鼓管功能恢复,并降低并发症发生率和复发率,提高了生活质量,具有积极的临床意义。Objective To discuss the efect of endoscopic tympanic membrane catheterization or puncture for the treatment of chronic secretory otitis media.Methods A total of 82 chronic secretory otitis media patients were randomly divided into observation group and control group,with 41 cases in each group.The control group was treated by endoscopic tympanic membrane puncture,and the observation group was treated by endoscopic tympanic membrane catheterization.The clinical efficacy,occurrence of complications,middle ear effusion time,complete healing time and recurrence rate,Chinese version of the chronic ear survey and Valsalva score before and after surgery were compared between the two groups.Results The total effective rate of treatment 95.12%of the observation group was higher than that of the control group 75.61%,and the difference was statistically significant(P<0.05).The incidence of complications 4.88%of the observation group was lower than that of the control group 21.95%,and the difference was statistically significant(P<0.05).The middle ear effusion time(8.02±1.04)d and complete healing time(10.24±3.15)d of the observation group were shorter than those of the control group(10.93±1.37)and(15.64±3.63)d,and recurrence rate 2.44%was lower than that of the control group 21.95%,and the difference was statistically significant(P<0.05).After surgery,CCES score(56.94±7.37)points of the observation group was higher than that of the control group(47.21±9.06)points,and Valsalva score(2.17±0.95)points was lower than that of the control group(2.98±1.04)points,and the difference was statistically significant(P<0.05).Conclusion Endoscopic tympanic membrane catheterization shows better effect on chronic secretory otitis media,which can help to maintain the pressure balance in and out of tympanic chamber for a long time,promote the recovery of eustachian tube function,reduce the incidence of complications and recurrence rate,improve the quality of life,and has positive clinical significance.

关 键 词：慢性分泌性中耳炎 耳内镜下鼓膜置管 耳内镜下鼓膜穿刺 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]