耳内镜下内衬法鼓膜修补与蝶形软骨膜嵌入法鼓膜修补的应用差异性分析  

Analysis of the Application Differences of Inner Lining Method and Butterfly Shaped Cartilage Membrane Embedding Method for Tympanic Membrane Repair under Otoscopy

作　　者：庄得才 郭世鸿[1] 张淑芳 高艳儒 张玉梅 李斌苗 戴九江 滕玉飞 ZHUANG Decai;GUO Shihong;ZHANG Shufang;GAO Yanru;ZHANG Yumei;LI Binmiao;DAI Jiujiang;TENG Yufei(The Second People's Hospital of Lanzhou,Lanzhou 730046,Gansu,China)

机构地区：[1]兰州市第二人民医院,甘肃兰州730046

出　　处：《现代诊断与治疗》2024年第16期2371-2373,2381,共4页Modern Diagnosis and Treatment

基　　金：兰州市科技局项目(项目编号2022-5-137)。

摘　　要：目的分析耳内镜下内衬法鼓膜修补与耳内镜下蝶形软骨膜嵌入法鼓膜修补的应用差异性。方法选取2021年12月至2023年12月我院收治的50例慢性化脓性中耳炎鼓膜穿孔者为研究对象,采用随机对照表法分为观察组和对照组各25例。观察组采取耳内镜下内衬法鼓膜修补,对照组采取耳内镜下蝶形软骨膜嵌入法鼓膜修补术,比较两组患者治疗后鼓膜愈合率、术中出血量及手术时间、手术并发症(移植物感染、鼓膜内陷、鼓膜炎),分析两组术前、术后2个月平均气导听阈(PTA)、气骨导差(ABG)评分、术后24 h VAS评分。结果治疗后,观察组鼓膜愈合率、术中出血量与对照组比较,差异无统计学意义(P>0.05);观察组手术时间显著短于对照组,差异有统计学意义(P<0.05);治疗前,两组PTA、ABG比较,无明显差异(P>0.05);治疗后,观察组优于对照组,差异有统计学意义(P<0.05);治疗前两组VAS评分比较,无明显差异(P>0.05),治疗后,观察组优于对照组,差异有统计学意义(P<0.05);观察组并发症发生情况低于对照组,差异有统计学意义(P<0.05)。结论在耳内镜下内衬法鼓膜修补术较蝶形软骨膜嵌入法鼓膜修补治疗优势更明显,可改善听力,减轻疼痛程度,且手术时间较短,有利于减少术中出血,提高鼓膜愈合率,还可降低术后并发症发生率,效果明显。Objectives To analyze the differences in the application of inner lining tympanic membrane repair under otoscopy and butterfly cartilage membrane embedding tympanic membrane repair under otoscopy.Methods A total of 50patients with chronic suppurative otitis media with tympanic membrane perforation admitted to our hospital from December 2021 to December 2023 were selected as the research objects.The patients were randomly divided into observation group and control group,with 25 cases in each group.The observation group underwent endoscopic tympanic membrane repair with inner lining method,and the control group was treated with butterfly shaped cartilage membrane embedding method under ear endoscopy.The healing rate of the tympanic membrane,intraoperative blood loss,surgical time,and surgical complications(graft infection,tympanic membrane invagination,and tympanitis)after treatmentwere compared between the two groups.The Pure Tone Average(PTA),Air-bone Gap(ABG)score,and postoperative 24-hour VAS score of the two groups before and 2 months after surgery were analyzed.Results After treatment,there was no significant difference in tympanic membrane healing rate and intraoperative blood loss between the observation group and the control group(P>0.05).The operation time of the observation group was significantly shorter than that of the control group(P<0.05).Before treatment,there was no significant difference in PTA and ABG between the two groups(P>0.05).After treatment,the indicators in observation group weresignificantly better than those in control group(P<0.05).There was no significant difference in VAS score between the two groups before treatment(P>0.05).After treatment,the score in the observation group was significantly better than that in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusions The advantages of inner lining method of tympanic membrane repair under otoscopyare more obvious than those of butterf

关 键 词：蝶形软骨膜嵌入法 鼓膜修补 耳内镜 内衬法 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]