摘要
目的探讨外伤性鼓膜穿孔的治疗方法。方法对96例外伤性鼓膜穿孔患者的临床资料进行回顾性分析,其中治疗组72例采用耳内窥镜下急诊外科干预及明胶海绵贴补;对照组24例予以一般的干燥治疗,对两组疗效进行比较并分析影响预后的因素。结果两组患者治疗2周、4周后疗效比较,差异有统计学意义(P<0.01)。治疗组72例在48小时内(急性期)就诊的66例患者穿孔缘有翻卷的鼓膜,经急诊耳内窥镜手术,2周内穿孔愈合率为93.9%(62/66);对照组24例中有11例穿孔缘有翻卷的鼓膜,2周内穿孔自然愈合率为27.3%(3/11),两组间差异有统计学意义(P<0.01)。结论外伤性鼓膜穿孔急性期可见穿孔缘有翻卷的鼓膜,经急诊耳内窥镜下恢复其形态后并行明胶海绵贴补可明显提高鼓膜穿孔的愈合率,缩短愈合时间,减轻患者痛苦。
Objective To study the clinical features and treatment of traumatic eardrum perforation. Methods 96 cases with traumatic tympanic membrane perforation were included. 72 cases were given ear endoscopic surgical intervention and 24 cases were given ordinary dry treatment. Their clinic materials were retrospectively analyzed and the effect were compared. Results The clinic effect after treating by 2 weeks and 4weeks were compared. There were significant difference between the two groups＇ effect（ P 〈0. 005）. 66 cases in the treatment group and 11 case in control group with ear piercing edge of the tympanic membrane visiting hospital within 48 hours（acute stage） were given emergency ear endoscopic surgery. The cure rate in two weeks were 93.9%（62/66） and 27.3%（3/11） respectively. there was significant difference between them（ P〈0. 005）. Conclusion Emergency ear endoscopic surgery can improve the cure rate of tympanic membrane perforation and shorten the healing time and reduce the pain in the traumatic perforation patients with ear piercing edge of the tympanic membrane.
出处
《右江医学》
2010年第1期14-15,共2页
Chinese Youjiang Medical Journal
关键词
鼓膜穿孔
耳内窥镜
外伤性
eardrum perforation
ear endoscopy
traumatic
