摘要
目的:研究分析耳内镜下鼓膜置管术治疗慢性分泌性中耳炎的效果。方法:选择2018年9月~2019年9月在本院接受治疗的80例慢性中耳炎患者为研究对象,将其随机分为对照组及观察组,各40例。对照组采取常规性药物治疗,观察组采取耳内镜下鼓膜置管术治疗,对比两组临床疗效、气导听阈和气骨导差、不良反应。结果:对照组总有效率为75.0%,观察组总有效率为95.0%,两组差异具有统计学意义(χ^(2)=11.16,P=0.000)。对照组不良反应发生率17.5%,观察组不良反应发生率为2.5%,两组不良反应发生率差异有统计学意义(χ^(2)=11.08,P=0.000)。两组治疗后气导听阈和气骨导差均改善,观察组优于对照组,差异有统计学意义(P<0.05)。观察组治疗后4周、12周和6个月语言频率显著低于对照组,差异有统计学意义(P<0.05);观察组治疗后患耳分泌物改善时间、干耳时间显著少于对照组,差异有统计学意义(P<0.05)。结论:耳内镜下鼓膜置管术治疗慢性分泌性中耳炎的效果、安全性高。
Objective:To study and analyze the effect of endoscopic tympanic tube placement in the treatment of chronic secretory otitis media.Methods:80 patients with chronic otitis media were treated in our hospital from September 2018 to September 2019.The above patients were the research objects,and they were randomly divided into the control group and the observation group,40 cases in each.The control group was treated with conventional drugs,and the observation group was treated with endoscopic tympanic membrane tube placement.The clinical efficacy,air conduction hearing threshold,air-bone conduction difference,and adverse reactions were compared between the two groups.Results:The total effective rate of the control group was 75.0%;the total effective rate of the observation group was 95.0%,and the difference between the two groups was statistically significant(χ^(2)=11.16,P=0.000).The incidence of adverse reactions in the control group was 17.5%;the incidence of adverse reactions in the observation group was 2.5%,and there was a statistically significant difference in the incidence of adverse reactions between the two groups(χ^(2)=11.08,P=0.000).After treatment,the air conduction hearing threshold and air-bone conduction difference in the two groups were improved,and the observation group was better than the control group,and the difference was statistically significant(P<0.05).The language frequency of the observation group was significantly lower than that of the control group at 4 weeks,12 weeks and 6 months after treatment,and the differences were statistically significant(P<0.05).The improvement time of ear secretions and dry ear time in the observation group after treatment were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The tympanic membrane catheterization under ear endoscope is effective and safe in the treatment of chronic secretory otitis media.
作者
崔岩
CUI Yan(Liaoyang Central Hospital,Liaoning Liaoyang 111000)
出处
《中国医疗器械信息》
2022年第5期81-83,共3页
China Medical Device Information
关键词
慢性分泌性中耳炎
耳内镜下鼓膜置管术
临床疗效
chronic secretory otitis media
endoscopic tympanic membrane catheterization
clinical efficacy
