耳内镜下鼓膜置管与鼓膜穿刺术治疗分泌性中耳炎的临床效果对比  

Comparison of the clinical effect of tympanic membrane insertion and tympanic membrane puncture under otoscope in the treatment of secretory otitis media

作　　者：宋文芳 SONG Wen-fang(Department of Otorhinolaryngology,Fengcheng Hospital of Traditional Chinese Medicine,Fengcheng 118100,China)

机构地区：[1]凤城市中医院耳鼻喉科,118100

出　　处：《中国现代药物应用》2022年第6期51-53,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析分泌性中耳炎疾病特点,对比耳内镜下鼓膜置管、鼓膜穿刺术治疗的临床价值。方法84例分泌性中耳炎患者,按照入院先后顺序分为对照组和观察组,每组42例。对照组采用耳内镜下鼓膜穿刺术治疗,观察组采用耳内镜下鼓膜置管术治疗。比较两组患者治疗效果及并发症发生情况、听力水平。结果观察组患者的治疗总有效率92.86%显著高于对照组的66.67%,并发症发生率4.76%显著低于对照组的28.57%,差异具有统计学意义(P<0.05)。治疗前,两组患者的骨导、气导水平比较,差异无统计学意义(P>0.05);治疗后,两组患者的骨导、气导水平均低于治疗前,且观察组骨导(15.40±3.80)dB、气导(14.22±2.80)dB均低于对照组的(20.50±4.50)、(19.40±3.50)dB,差异具有统计学意义(P<0.05)。结论耳内镜下鼓膜置管、鼓膜穿刺术均可用于治疗分泌性中耳炎,其中耳内镜下鼓膜置管术治疗优势突出。Objective To analyze the characteristics of secretory otitis media,and compare the clinical value of tympanic membrane insertion and tympanic membrane puncture under otoscope in the treatment of secretory otitis media.Methods A total of 84 patients with secretory otitis media were divided into control group and observation group according to the order of admission,with 42 cases in each group.The control group was treated with tympanic membrane puncture under otoscope,and the observation group was treated with tympanic membrane insertion under otoscope.The therapeutic effect,complications and hearing level were compared between the two groups.Results The total effective rate in the observation group was 92.86%,which was significantly higher than 66.67%in the control group,and the complication rate 4.76%was significantly lower than 28.57%in the control group.All the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the levels of bone conduction and air conduction between the two groups(P>0.05).After treatment,the levels of bone conduction and air conduction in the two groups were lower than those before treatment in this group,and the bone conduction(15.40±3.80)dB and air conduction(14.22±2.80)dB of the observation group were lower than(20.50±4.50)and(19.40±3.50)dB of the control group.All the differences were statistically significant(P<0.05).Conclusion Both tympanic membrane insertion and tympanic membrane puncture under otoscope can be used to treat secretory otitis media.The treatment advantages of tympanic membrane insertion under otoscope has outstanding advantages in terms of overall effect.

关 键 词：耳内镜 鼓膜置管术 鼓膜穿刺术 分泌性中耳炎 并发症 听力水平 

分 类 号：R764.92[医药卫生—耳鼻咽喉科]