摘要
目的探究鼻内镜下咽鼓管术治疗分泌性中耳炎患者的效果。方法选取2020年1月至2021年3月本院收治的100例分泌性中耳炎患者作为研究对象,按照随机数字表法分为对照组与治疗组,每组50例。对照组行传统鼓膜切开置管术,治疗组行鼻内镜下咽鼓管术,比较两组临床疗效、咽鼓管功能、听力损失、生命质量及并发症发生情况。结果治疗组治疗总有效率为96.00%,高于对照组的84.00%,差异有统计学意义(P<0.05)。术前,两组咽鼓管功能障碍、捏鼻鼓气法评分比较差异无统计学意义;术后,两组咽鼓管功能障碍、捏鼻鼓气法评分均低于术前,且治疗组低于对照组,差异有统计学意义(P<0.05)。术前,两组听力损失比较差异无统计学意义;术后,两组听力损失均小于术前,且治疗组小于对照组,差异有统计学意义(P<0.05)。术前,两组躯体、社会、精神、心理评分比较差异无统计学意义;术后,两组躯体、社会、精神、心理评分均高于术前,且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗组并发症发生率为4.00%,低于对照组的18.00%,差异有统计学意义(P<0.05)。结论鼻内镜下咽鼓管术治疗分泌性中耳炎效果显著,可有效改善患者咽鼓管功能,减少听力损失,提高患者生命质量,值得临床推广应用。
Objective To explore the effect of eustachian tube surgery under nasal endoscopy in the treatment of patients with secretory otitis media.Methods 100 patients with secretory otitis media admitted to our hospital from January 2020 to March 2021 were selected as the research subjects,they were randomly divided into the control group and the treatment group according to random number table method,with 50 cases in each group.The control group underwent traditional myringotomy and tube insertion surgery,while the treatment group underwent eustachian tube under nasal endoscope,the clinical efficacy,eustachian tube function,hearing loss,quality of life,and incidence of complications were compared between the two groups.Results The total effective rate in the treatment group was 96.00%,which was higher than the 84.00%in the control group,and the difference was statistically significant(P<0.05).Before operation,there were no significant differences in the scores of eustachian tube dysfunction and pinching nose and gas method between the two groups;after operation,the scores of eustachian tube dysfunction and pinching nose and gas method of the two groups were lower than those before operation,and the treatment group was lower than the control group,the differences were statistically significant(P<0.05).Before operation,there was no significant difference in hearing loss between the two groups;after operation,the hearing loss of the two groups was less than that before operation,and the treatment group was less than the control group,the difference was statistically significant(P<0.05).Before operation,there were no significant differences in physical,social,mental and psychological scores between the two groups;after operation,the scores of physical,social,mental and psychological of the two groups were higher than those before operation,and the treatment group was higher than the control group,the differences were statistically significant(P<0.05).The incidence of complications in the treatment group was 4.00%,which was
作者
王文华
刘欣旭
李越胜
WANG Wenhua;LIU Xinxu;LI Yuesheng(Shenyang Red Cross Hospital,Shenyang,Liaoning,110013,China)
出处
《当代医学》
2023年第17期27-30,共4页
Contemporary Medicine
关键词
分泌性中耳炎
鼻内镜下咽鼓管术
咽鼓管功能
听力损失
生命质量
Secretory otitis media
Eustachian tube under nasal endoscope
Eustachian tube function
Hearing loss
Quality of life
