内窥镜下中耳置管术治疗小儿分泌性中耳炎的临床效果  

Clinical effect of endoscopic middle ear catheterization in the treatment of secretory otitis media in children

作　　者：刘飞 张颖 LIU Fei;ZHANG Ying(Yangxin County Traditional Chinese Medicine Hospital,Shandong Province,Yangxin 251800,China)

机构地区：[1]山东省阳信县中医医院,山东阳信251800

出　　处：《妇儿健康导刊》2024年第18期63-66,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨内窥镜下中耳置管术治疗小儿分泌性中耳炎的临床效果。方法选取2022年3月至2023年5月阳信县中医医院收治的76例分泌性中耳炎患儿为研究对象,按照随机数字表法分为两组。对照组(38例)实施内窥镜下鼓膜穿刺术,观察组(38例)实施内窥镜下中耳置管术,比较两组临床疗效、听力恢复情况、生活质量、并发症总发生率。结果观察组治疗总有效率为94.74%(36/38),高于对照组的78.95%(30/38),差异有统计学意义(P<0.05);观察组听觉脑干诱发电位阈值低于对照组,各项健康状况调查问卷评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率为5.26%(2/38),低于对照组的21.05%(8/38),差异有统计学意义(P<0.05)。结论内窥镜下中耳置管术治疗小儿分泌性中耳炎的临床效果较好,能够促进患儿听力恢复,提高生活质量,减少并发症。Objective To explore the clinical effect of endoscopic middle ear catheterization in the treatment of secretory otitis media in children.Methods A total of 76 children with secretory otitis media admitted to Yangxin County Traditional Chinese Medicine Hospital from March 2022 to May 2023 were selected as the study subjects,and were divided into two groups by the random number table method.The control group(38 cases)received endoscopic tympanic membrane puncture,while the observation group(38 cases)received endoscopic middle ear catheterization.The clinical efficacy,hearing recovery,quality of life,and total incidence of complications were compared between the two groups.Results The total clinical effective rate of observation group was 94.74%(36/38),which was higher than 78.95%(30/38)in the control group,the difference was statistically significant(P<0.05).The threshold of auditory brainstem evoked potential in the observation group was lower than that in the control group,and the scores of 36-item short form health survey questionnaire were higher than those in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 5.26%(2/38),which was lower than 21.05%(8/38)in the control group,the difference was statistically significant(P<0.05).Conclusion Endoscopic middle ear catheterization in the treatment of secretory otitis media in children has good clinical effect,which can promote children’s hearing recovery,improve quality of life,and reduce complic ations.

关 键 词：小儿分泌性中耳炎 内窥镜下中耳置管术 听力 并发症 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]