鼻内镜下咽鼓管手术对分泌性中耳炎的治疗效果及安全性  

Therapeutic efficacy and safety of eustachian tube surgery under nasal endoscope for secretory otitis media

作　　者：沙敏 滕尧树[2] 楼高忠 江娟娟 王钰 SHA Min;TENG Yaoshu;LOU Gaozhong;JIANG Juanjuan;WANG Yu(Department of Otolaryngology,Hangzhou Children′s Hospital,Hangzhou 310000,China;Department of Otolaryngology,Hangzhou First People′s Hospital,Hangzhou 310000,China)

机构地区：[1]杭州市儿童医院耳鼻咽喉科,浙江杭州310000 [2]杭州市第一人民医院耳鼻咽喉科,浙江杭州310000

出　　处：《中国现代医生》2021年第29期96-99,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2019RC065)。

摘　　要：目的探讨鼻内镜下咽鼓管手术对分泌中耳炎的治疗效果及安全性。方法选择2018年1月至2019年12月杭州市第一人民医院耳鼻咽喉科接受手术治疗的80例分泌性中耳炎患者作为研究对象,依据随机数字表法将患者随机分为对照组40例与观察组40例,对照组施行鼓膜切开置管手术,观察组施行鼻内镜下咽鼓管球囊扩张术,比较两组的临床疗效、纯音听阈值、术情况、术后疼痛评分、术后并发症发生率、术后恢复时间。结果观察组临床总有效率为97.50%,对照组为82.50%,观察组高于对照组(P<0.05)。两组各频率的纯音听阈值在手术后均较手术前均明显提高(P<0.05),而观察组手术后各频率的纯音听阈值均高于对照组(P<0.05)。观察组的手术时间短于对照组(P<0.05),观察组的术中出血量较对照组减少(P<0.05)。观察组术后12、24、36、48 h疼痛评分低于对照组(P<0.05)。观察组术后并发症发生率为2.50%,低于对照组的15.00%(P<0.05)。观察组术后切口愈合时间、住院时间均短于对照组(P<0.05)。结论鼻内镜下咽鼓管球囊扩张术对分泌性中耳炎具有良好的治疗效果,可改善听力,还可实现手术微创性,减轻手术创伤,减少术后并发症,加快术后恢复。Objective To explore the therapeutic efficacy and safety of eustachian tube surgery under nasal endoscope for secretory otitis media.Methods A total of 80 patients with secretory otitis media undergoing surgery in the Department of Otolaryngology of Hangzhou First People′s Hospital from January 2018 to December 2019 were selected as the research objects.The patients were divided into the control group(n=40)and the observation group(n=40)according to the random number table method.The control group was treated with myringotomy and catheterization,while the observation group was treated with eustachian tube balloon dilatation under nasal endoscope.The clinical efficacy,pure tone threshold,operation status,postoperative pain score,incidence of postoperative complications and postoperative recovery time of the two groups were compared.Results The clinical total effective rate in the observation group was 97.50%,which was higher than 82.50%in the control group(P<0.05).After operation,the pure tone threshold of each frequency in both groups was all significantly higher than that before operation(P<0.05),and after operation,the pure tone threshold of each frequency in the observation group was all higher than that in the control group(P<0.05).The operation time of the observation group was shorter than that of the control group(P<0.05),and the intraoperative hemorrhage volume of the observation group was less than that of the control group(P<0.05).At 12,24,36 h and 48 h after operation,pain scores in the observation group were lower than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was 2.50%,which was lower than 15.00%in the control group(P<0.05).The postoperative wound healing time and hospitalization time in the observation group were all shorter than those in the control group(P<0.05).Conclusion Eustachian tube balloon dilatation under nasal endoscope has a good therapeutic efficacy on secretory otitis media,which can improve hearing,achieve minimally inva

关 键 词：分泌性中耳炎 咽鼓管球囊扩张术 鼓膜切开置管手术 鼻内镜 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]