耳内镜下耳屏软骨-软骨膜鼓膜成形术的临床作用分析

Clinical Analysis of the Effect of Tragus Cartilage-PerichondriumTympanoplasty under Otoendoscopy

目的:探讨耳内镜下耳屏软骨-软骨膜鼓膜成形术的临床应用价值。方法:采用随机数字表法将本院耳鼻喉科收治的慢性化脓性中耳炎96例患者分成对照组和观察组,各48例;对照组予以显微镜下颞肌筋膜鼓膜成形术,观察组采用耳内镜下耳屏软骨-软骨膜鼓膜成形术;对两组的治疗效果进行比较分析。结果:观察组患者鼓膜生长愈合率为93.75%(45/48),对照组为77.08%(37/48),组间差异显著(P<0.05);观察组0.5、1.0、2.0、4.0 kHz听力水平较对照组高(P<0.05);观察组患者的物质生活、社会关系、躯体功能、心理功能等生活质量评分较对照组高(P<0.05)。结论:对慢性化脓性中耳炎患者行耳内镜下耳屏软骨-软骨膜鼓膜成形术治疗,可提高鼓膜生骨膜生长愈合率,有效改善患者听力水平以及生活质量。

Objective:To investigate the clinical value of tragus cartilage-perichondrium tympanoplasty under otoendoscopy.Methods:A total of 96 patients with chronic suppurative otitis media admitted to the otolaryngology department of our hospital were randomly divided into a control group and an observation group,with 48 patients in each group.The control group underwent temporal fascia tympanoplasty under a microscope,while the observation group underwent tragus cartilage-perichondrium tympanoplasty under otoendoscopy.The therapeutic effects of the two groups were compared and analyzed.Results:The growth and healing rate of tympanic membrane in the observation group was 93.75%(45/48),while that in the control group was 77.08%(37/48),showing a significant difference between the two groups(P<0.05).The hearing levels at 0.5,1.0,2.0,and 4.0 kHz in the observation group were higher than those in the control group(P<0.05).The quality of life scores in terms of material life,social relationships,physical function,and psychological function in the observation group were higher than those in the control group(P<0.05).Conclusion:The application of tragus cartilage-perichondrium tympanoplasty under otoendoscopy in patients with chronic suppurative otitis media can improve the growth and healing rate of tympanic membrane,effectively enhance hearing levels,and improve the quality of life.