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应用效果。方法选取无锡市锡山人民医院2018年8月—2021年4月收治的慢性化脓性中耳炎鼓膜穿孔患者88例,以抛硬币法将其随机分成两组,各44例。对照组行显微镜下鼓膜修补术,观察组行耳内镜下鼓膜修补术。对比两组手术基本指标、疗效及鼓膜穿孔愈合时间。结果观察组手术时间(62.61±12.62)min、住院时间(4.34±1.69)d短于对照组的(75.77±14.78)min、(5.72±1.80)d,术中出血量(10.64±3.74)mL少于对照组的(21.17±5.64)mL,差异有统计学意义(t=4.492、3.708、10.321,P<0.05);观察组治疗总有效率为93.18%,高于对照组的90.91%,但差异无统计学意义(P>0.05);两组术后1、2、3个月穿孔愈合率对比,差异无统计学意义(P>0.05)。结论慢性化脓性中耳炎鼓膜穿孔耳采用内镜下鼓膜修补术与传统显微镜下修补术均有良好疗效,但耳内镜下鼓膜修补术手术时间更短,出血更少,更有利于术后恢复。
Objective To investigate the clinical effect of endoscopic and microscopic tympanic membrane repair in the treatment of chronic suppurative otitis media with tympanic membrane perforation.Methods A total of 88 patients with tympanic membrane perforation of chronic suppurative otitis media who were admitted to Wuxi Xishan People′s Hospital from August 2018 to April 2021 were selected and randomly divided into two groups by coin toss method,with 44 cases in each group.The control group underwent tympanic membrane repair under microscope,and the observation group underwent tympanic membrane repair under ear endoscope.The basic surgical indicators,therapeutic efficacy and healing time of tympanic membrane perforation were compared between the two groups.Results The operation time(62.61±12.62)min and hospital stay(4.34±1.69)d in the observation group were shorter than(75.77±14.78)min and(5.72±1.80)d in the control group,the intraoperative blood loss(10.64±3.74)m L was less than(21.17±5.64)mL in the control group,and the difference was statistically significant(t=4.492,3.708,10.321,P<0.05).The total effective rate of the observation group was 93.18%,but the difference was not statistically significant was higher than of the control group 90.91%but the difference was not statistically significant(P>0.05).There was no statistically significant difference in the perforation healing rate at 1 month,2 months,and 3 months after surgery(P>0.05).Conclusion For chronic suppurative otitis media perforated ear,both endoscopic tympanic membrane repair and traditional microscopic repair have good curative effect,but endoscopic tympanic membrane repair has shorter operation time and less bleeding,which is more conducive to postoperative recovery.
作者
林浩
LIN Hao(Department of Otolaryngology,Wuxi Xishan People′s Hospital,Wuxi,Jiangsu Province,214000 China)
出处
《世界复合医学》
2022年第8期102-105,共4页
World Journal of Complex Medicine
关键词
鼓膜穿孔
中耳炎
耳内镜
显微镜
鼓膜修补术
Tympanic membrane perforation
Otitis media
Otoscope
Microscope
Tympanic repair
