鼓膜置管与穿刺对慢性分泌性中耳炎的疗效

Therapeutic Effect of Tympanic Membrane Catheterization and Puncture on Chronic Secretory Otitis Media

目的:比较耳内镜下鼓膜置管、鼓膜穿刺治疗慢性分泌性中耳炎的临床应用价值。方法:用随机数字表法在笔者所在医院2017年1月-2018年3月收治的慢性分泌性中耳炎患者中纳入75例为对象,单盲法分组为对照组32例和观察组43例。采用耳内镜下鼓膜穿刺术治疗对照组患者,采用耳内镜下鼓膜置管术治疗观察组患者,比较两组患者临床治疗效果及并发症发生率。结果:观察组患者治疗总有效率为95.35%,高于对照组的78.13%,观察组患者并发症发生率为4.65%,低于对照组的34.38%,差异均有统计学意义(P<0.05)。结论:慢性分泌性中耳炎患者临床治疗时,选择耳内镜下鼓膜置管术治疗的效果优于鼓膜穿刺术,且患者术后并发症少。

Objective:To compare the clinical value of tympanic membrane catheterization and tympanic membrane puncture under endotoscpe in the treatment of chronic secretory otitis media.Method:A total of 75 patients with chronic secretory otitis media admitted to our hospital from January 2017 to March 2018 were divided into control group(32 cases)and observation group(43 cases).The patients in the control group were treated with endotoscpe tympanocentesis and the patients in the observation group were treated with endotoscpe tympanocentesis.The clinical effects and complications of the two groups were compared.Result:The effective rate of treatment in the observation group was 95.35%,which was higher than 78.13%in the control group,the incidence of complications in the observation group was 4.65%,which was lower than 34.38%in the control group,the differences were statistically significant(P<0.05).Conclusion:In the clinical treatment of chronic secretory otitis media,the effect of tympanic membrane catheterization under endotoscpe is better than that of tympanic membrane puncture,and the complications after operation are less.