对比耳内镜下与显微镜下鼓膜修补术治疗慢性化脓性中耳炎鼓膜穿孔患者的临床效果分析  

Comparative Analysis of Clinical Effects Between Endoscopic and Microscopic Tympanic Membrane Repair Surgery in the Treatment of Chronic Suppurative Otitis Media with Tympanic Membrane Perforation

作　　者：陈晓平 CHEN Xiao-ping(Otolaryngology Department,Hui’an County Hospital,Fujian Quanzhou 362100)

机构地区：[1]惠安县医院耳鼻喉科,福建泉州362100

出　　处：《中国医疗器械信息》2025年第3期111-113,共3页China Medical Device Information

摘　　要：目的:探讨耳内镜下与显微镜下鼓膜修补术治疗慢性化脓性中耳炎鼓膜穿孔患者的临床疗效。方法:按研究计划选取2022年11月~2023年11月本院收治的72例慢性化脓性中耳炎并鼓膜穿孔患者。以随机数字表法的顺序将患者分为两组,各36例。对照组在显微镜下开展鼓膜修补术,观察组在耳内镜下开展鼓膜修补术。比较两组手术一般指标、治疗疗效、疼痛情况、并发症、听阈改善情况。结果:观察组手术时间、出血量、住院时间指标数值均低于对照组(P<0.05)。两组治疗总有效率对比无统计学意义(P>0.05)。观察组术后1d、3d、5d数字模拟评分法均低于对照组(P<0.05)。对照组手术并发症发生率16.67%(6/36)高于观察组(P<0.05)。术前两组气导听阈、骨导听阈对比无统计学意义(P>0.05);术后观察组听阈均低于对照组(P<0.05)。结论:鼓膜修补术在耳内镜下开展能够一定程度减少出血、缩短手术时间,获得更满意的治疗效果,并且可降低术后疼痛程度,使气导听阈、骨导听阈有更显著的改善。Objective:To explore the clinical efficacy of tympanic membrane repair under otoscopy and microscope in the treatment of chronic suppurative otitis media with tympanic membrane perforation.Methods:According to the research plan,72 patients with chronic suppurative otitis media and tympanic membrane perforation were selected in our hospital from November 2022 to November 2023.Divide the patients into two groups,each with 36 cases,in the order of a random number table.The control group underwent tympanoplasty under a microscope,while the observation group underwent tympanoplasty under an otoscope.Compare the general indicators,treatment efficacy,pain,complications,and improvement in hearing threshold between two groups of surgeries.Results:The values of surgical time,bleeding volume,and hospital stay in the observation group were lower than those in the control group(P<0.05).Comparison of total effective rates between two treatment groups(P>0.05).The numerical simulation score(NRS)of the observation group was lower than that of the control group at 1 day,3 days,and 5 days after surgery(P<0.05).The incidence of surgical complications in the control group was 16.67%(6/36),which was higher than that in the observation group(P<0.05).Comparison of air conduction hearing threshold and bone conduction hearing threshold between the two groups before surgery(P>0.05);The postoperative observation group had lower hearing thresholds than the control group(P<0.05).Conclusion:Tympanic membrane repair surgery under ear endoscopy can reduce bleeding to a certain extent,shorten surgical time,achieve more satisfactory treatment results,and reduce postoperative pain,resulting in a more significant improvement in air conduction hearing threshold and bone conduction hearing threshold.

关 键 词：鼓膜穿孔 耳内镜 显微镜 化脓性中耳炎 听阈 

分 类 号：R764.92[医药卫生—耳鼻咽喉科]