摘要
目的探究耳内镜下蝶形软骨嵌入法修补鼓膜前缘穿孔的临床疗效和不良反应。方法以随机抽样法为分组依据,将本院抽取的36例鼓膜前缘穿孔患者分为研究组(耳内镜下蝶形软骨嵌入法修补)与对照组(常规耳内镜下鼓膜修补术治疗)各18例,均于2019.6-2021.6期间在本院接受治疗,对干预效果进行分析比较。结果术前研究对象的骨气导差、气导听阈对比无显著差异(P>0.05),术后研究对象均与术前存在显著差异,术后研究组骨气导差、气导听阈均低于对照组(P<0.05),研究组并发症发生率为5.56%,明显低于对照组的33.33%,差异显著(P<0.05),研究组鼓膜穿孔愈合率为100.00%,明显高于对照组的77.78%,差异显著(P<0.05)。结论将耳内镜下蝶形软骨嵌入法修补应用于鼓膜前缘穿孔患者后,听力恢复效果显著,具有鼓膜穿孔愈合率高、并发症少的优点,值得应用。
Objective To investigate the clinical efficacy and side effects of sphenoid cartilage embedding method under Otoendoscope in repairing perforation of anterior tympanic membrane.Methods Based on the random sampling method,36 patients with perforation of the front edge of tympanic membrane were divided into the study group(sphenoid cartilage embedding repair under Otoendoscope)and the control group(conventional tympanic membrane repair under Otoendoscope).They were treated in our hospital from June 2019 to June 2021.The intervention effects were analyzed and compared.Results There was no significant difference in bone gas conduction difference and air conduction hearing threshold before operation(P>0.05).There were significant differences between the postoperative study group and those before operation.The bone gas conduction difference and air conduction hearing threshold in the postoperative study group were lower than those in the control group(P<0.05).The incidence of complications in the study group was 5.56%,The healing rate of tympanic membrane perforation in the study group was 100.00%,which was significantly higher than 77.78%in the control group(P<0.05).Conclusion The application of butterfly cartilage embedding repair under Otoendoscope in patients with tympanic membrane perforation can have a significant effect on hearing recovery.It has the advantages of high healing rate and less complications of tympanic membrane perforation,which is worthy of application.
作者
杨强威
赵世杰
陈龙
黄芝灵
胡敏
Yang Qiangwei;Zhao Shijie;Chen long;Huang Zhiling;Hu min(Department of Otolaryngology,head and neck surgery,Nanning Second People's Hospital,Nanning,530031,Guangxi,China)
出处
《中国医学文摘（耳鼻咽喉科学）》
2023年第2期28-30,共3页
Chinese Medical Digest(Otorhinolaryngology)
关键词
鼓膜前缘穿孔
蝶形软骨嵌入法
耳内镜
修补效果
Perforation of anterior tympanic membrane
Butterfly cartilage embedding method
Otoendoscopy
Repair effect
