内镜与显微镜下鼓膜修补术治疗慢性化脓性中耳炎患者的疗效及安全性对比分析  

Comparative analysis of the efficacy and safety of endoscopic and microscopic tympanic membrane repair in patients with chronic suppurative otitis media

作　　者：王洁[1] 赵真 吴元庆[1] 马俭[1] 邓毅[1] 陈荣荣[1] WANG Jie;ZHAO Zhen;WU Yuanqing;MA Jian;DENG Yi;CHEN Rongrong(Department of Otolaryngology,Nanjing First Hospital,Nanjing Medical University,Nanjing,Jiangsu,210006,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)耳鼻咽喉科,江苏南京210006

出　　处：《中国耳鼻咽喉头颈外科》2021年第11期694-696,704,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的比较耳内镜与耳显微镜下鼓膜修补术治疗慢性化脓性中耳炎(chronic suppurative otitis media,CSOM)的临床疗效及安全性。方法选取2013年1月~2020年8月我院收治的CSOM患者90例,随机分为对照组和观察组,各45例。对照组与观察组分别采用耳显微镜及耳内镜进行鼓膜修补,比较两组手术情况,听力、生活质量、疼痛及不良反应情况。结果观察组手术时间、出血量、住院时长及视觉模拟量表评分均明显低于对照组(P均<0.05);两组治疗后气导听阈、骨导听阈及气骨导差均明显低于治疗前(P均<0.05),组间比较无明显差异(P均>0.05);观察组治疗后CSOM患者生活质量评分明显高于对照组(87.66±8.32 vs 78.64±8.43,t=5.109,P<0.05);两组不良反应发生率比较无明显差异(8.89%vs 13.34%,χ^(2)=0.450,P=0.502)。结论耳内镜下鼓膜修补术临床疗效显著,且可有效提高CSOM患者生活质量,降低术后疼痛。OBJECTIVE To compare the clinical efficacy and safety of tympanic membrane repair under otoscope and otoscope in the treatment of chronic suppurative otitis media(CSOM).METHODS A total of 90 patients with CSOM admitted to our hospital from January 2013 to August 2020 were selected and randomly divided into a control group and an observation group,with 45 cases in each group.The control group and the observation group were used otoscope and otoscope to repair the tympanic membrane,and compared the operation conditions of the two groups,hearing conditions,quality of life,pain and adverse reactions before and after treatment.RESULTS The operation time,blood loss,length of hospital stay and visual analogue scale score of the observation group were significantly lower than those of the control group(P<0.05).The air conduction hearing threshold,bone conduction hearing threshold,and air conduction difference between the two groups after treatment were significantly lower than before treatment(87.66±8.32 vs 78.64±8.43,t=5.109,P<0.05),and there was no significant difference between the groups(8.89% vs 13.34%,χ^(2)=0.450,P=0.502).After treatment,the observation group’s CSOM-quality of life score was significantly higher than that of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).CONCLUSION Endoscopic tympanic membrane repair has significant clinical effects,and can effectively improve the quality of life of patients with CSOM and reduce postoperative pain.

关 键 词：内窥镜检查 显微镜检查 中耳炎 化脓性 鼓膜成形术 耳内镜检查 耳显微镜 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]