耳内镜下嵌入蝶形软骨鼓膜成形术治疗鼓膜前缘穿孔效果及对患者听力恢复的影响  

The effect of endoscopic tympanoplasty with embedded sphenoid cartilage on anterior tympanic membrane perforation and hearing recovery

作　　者：刘侃 任同力[2] 杨斌 龚明杰 Liu Kan;Ren Tongli;Yang Bin;Gong Mingjie(Department of Otolaryngology,Cangzhou People's Hospital,Cangzhou 066700,Hebei;Fudan University Affiliated Eye,Ear,Nose and Throat Head and Neck Surgery Hospital,Shanghai 200031;Affiliated Hospital of Jiangnan University,Wuxi,Jiangsu,214000,China)

机构地区：[1]沧州市人民医院,河北沧州066700 [2]复旦大学附属眼耳鼻喉头颈外科医院,上海200031 [3]江南大学附属医院,江苏无锡214000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第2期22-24,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的 分析研究罹患鼓膜前缘穿孔治疗中采取耳内镜下嵌入蝶形软骨鼓膜成形术的应用价值。方法 选取2020.09-2022.09区间沧州市人民医院耳鼻喉科收治70例鼓膜前缘穿孔患者作为主体展开对照分析,依据治疗方式差异性展开规范分组,记对照组(n=35)、观察组(n=35),前组予以常规治疗,后组耳内镜下嵌入蝶形软骨鼓膜成形术,统计两组各项指标(治疗效果评估值、并发症发生率评估值、听力测评值、临床指标测评值)展开细致观测并实施对比分析。结果 观察组治疗有效率占比高于对照组,P<0.05。观察组并发症发生率占比低于对照组,P<0.05。干预前,听力指标无显著差异,P>0.05;干预后,观察组低于对照组,P<0.05。观察组临床指标测评值低于对照组,P<0.05。结论 在鼓膜前缘穿孔患者治疗期间通过予以耳内镜下嵌入蝶形软骨鼓膜成形术并安全合理开展,具有降低并发症发生率、提高听力水平、改善临床指标的效果,很大程度上提高了治疗水平。Objective To analyze and study the value of endoscopic tympanoplasty with sphenoid cartilage embedded in tympanic membrane in the treatment of anterior tympanic membrane perforation.Methods A total of 70 patients with anterior tympanic membrane perforation were selected from the otolaryngology of Cangzhou Peoples Hospital between September 2020 and September 2022.09,in the control group(N=35)and the observation group(N=35),the former group received routine treatment,while the latter group received sphenoid cartilage tympanoplasty under endoscope,all the indexes(therapeutic effect,complication rate,hearing test and clinical index)of the two groups were observed and compared.Results The effective rate of the observation group was higher than that of the control group(P<0.05).The rate of complications in the observation group was lower than that in the control group(P<0.05).Before intervention,there was no significant difference in hearing index(P<0.05),but after intervention,it was lower in the observation group than in the control group(P<0.05).The clinical indexes in the observation group were lower than those in the control group(P<0.05).Conclusion It is safe and reasonable to insert sphenoid cartilage into tympanoplasty under otoendoscope during the treatment of anterior tympanic membrane perforation,it can reduce the incidence of complications,improve the level of hearing,improve the clinical indicators,and improve the level of treatment to a great extent.

关 键 词：鼓膜前缘穿孔 治疗效果 听力恢复 并发症 耳内镜 应用价值 

分 类 号：R76[医药卫生—耳鼻咽喉科]