改良耳内镜下鼓膜穿刺并鼓室注射地塞米松治疗分泌性中耳炎的临床疗效

Clinical Effect of Modified Endoscopic Tympanic Membrane Puncture and Tympanic Injection of Dexamethasone in the Treatment of Secretory Otitis Media

目的:探讨改良耳内镜下鼓膜穿刺并鼓室注射地塞米松治疗分泌性中耳炎的临床疗效。方法:选分泌性中耳炎患者125例,随机分组,观察组63例采用改良耳内镜下鼓膜穿刺并鼓室注射地塞米松治疗,耳内镜下鼓膜做两个穿刺口;对照组62例采用传统的鼓膜穿刺治疗,耳内镜下鼓膜只做一个穿刺口。观察和比较两组患者的临床疗效和不良反应情况。结果:(1)与对照组(80.65%)对比,观察组临床治疗有效率(98.41%)明显更高,P<0.05;(2)与对照组(8.06%)对比,观察组不良反应发生率(1.59%)明显更低,P<0.05。结论:改良耳内镜下鼓膜穿刺并鼓室注射地塞米松治疗分泌性中耳炎的临床疗效显著,不良反应少,安全性良好,值得临床广泛应用以及推广。

Objective： To investigate the clinical efficacy of modified endoscopic tympanic membrane puncture and tympanic injection of dexamethasone in the treatment of secretory otitis media. Methods. 125 patients with secretory otitis media were randomly divided into two groups. The observation group （63 Cases） was treated with modified endoscopic tympanic membrane puncture and tympanic injection of dexametha- sone, endoscopic ear drum two puncture; the control group of 62 patients were treated with tympanic membrane puncture treatment of traditional endoscopic ear drum, just do a puncture. The clinical efficacy and ad- verse reactions of the two groups were observed and compared. Results： （1） Compared with the control group （80.65%）, the effective rate of clinical treatment （98.41%） was significantly higher in the observation group （P〈0.05）. （2） Compared with the control group （8.06%）, the adverse reaction occurred （1.59%） in the oh： servation group was significantly lower （P〈 0.05）. Conclusion： The improvement of endoscopic tympanic membrane puncture and tympanic injection of dexamethasone in the treatment of secretory otitis media has a significant clinical effect, less adverse reactions and good safety, and is worthy of clinical application and promotion.