耳内镜下鼓膜置管术治疗对分泌性中耳炎患儿中耳积液时间的影响  

Effect of endoscopic grommet insertion on the time of middle ear effusion in children with secretory otitis media

作　　者：陈洽鑫[1] 林小燕[1] 刘漪[1] 陈婷 邓梦夏 CHEN Qia-xin;LIN Xiao-yan;LIU Yi(Department of Otolaryngology,Guangdong Maternity and Child Health Hospital,Guangzhou 511400,China)

机构地区：[1]广东省妇幼保健院耳鼻咽喉科,511400

出　　处：《中国现代药物应用》2020年第17期19-21,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨耳内镜下鼓膜置管术治疗对分泌性中耳炎患儿中耳积液时间的影响。方法 106例分泌性中耳炎患儿,应用随机数字法分为研究组和对照组,各53例。对照组患儿采用鼓膜穿刺术治疗,研究组患儿采用耳内镜下鼓膜置管术治疗。比较两组患儿治疗效果、中耳积液时间、愈合时间以及并发症发生情况。结果研究组患儿的治疗总有效率为96.2%,显著高于对照组的83.0%,差异具有统计学意义(P<0.05)。研究组患儿中耳积液时间(8.1±1.0)d、愈合时间(10.1±3.3)d均短于对照组的(10.9±1.3)、(15.5±3.7)d,差异具有统计学意义(P<0.05)。研究组患儿并发症发生率1.9%低于对照组的13.2%,差异具有统计学意义(P<0.05)。结论分泌性中耳炎患儿实施耳内镜下鼓膜置管术治疗,治疗效果显著,不仅能够清晰地观察患儿耳内的鼓膜环境,提高了手术的成功率,而且还对患儿构成的伤害比较小,出现中耳感染、鼓室硬化、鼓膜穿孔等并发症的几率也比较低,能够缩短患儿中耳积液时间,让患儿尽快康复,早日出院,在患儿治疗上具有十分重要的意义。Objective To discuss the effect of endoscopic grommet insertion on the time of middle ear effusion in children with secretory otitis media.Methods A total of 106 children with secretory otitis media were divided into research group and control group by random numerical table,with 53 cases in each group.The control group was treated by auripuncture,and the research group was treated by endoscopic grommet insertion.The therapeutic effect,time of middle ear effusion,healing time and occurrence of complications were compared between the two groups.Results The total effective rate of treatment of the research group was 96.2%,which was significantly higher than that of the control group 83.0%,and the difference was statistically significant(P<0.05).The time of middle ear effusion(8.1±1.0)d and healing time(10.1±3.3)d of the research group was shorter than that of the control group(10.9±1.3)and(15.5±3.7)d,and the difference was statistically significant(P<0.05).The incidence of complications 1.9%of the research group was lower than that of the control group 13.2%,and the difference was statistically significant(P<0.05).Conclusion Endoscopic grommet insertion shows remarkable effect on children with secretory otitis media,which can not only clearly observe the tympanic membrane environment,improve the success rate of the operation,but also cause relatively little harm to the child,and the incidence of complications such as middle ear infection,tympanic sclerosis,tympanic membrane perforation is also relatively low.It also can shorten the time of middle ear effusion,allow them to recover as soon as possible,and be discharged early,which is of great significance in the treatment of children.

关 键 词：耳内镜下鼓膜置管术 分泌性中耳炎 中耳积液时间 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]