耳内镜下鼓膜穿刺术与鼓膜置管术治疗分泌性中耳炎的疗效比较

Comparison on the Curative Effects of Tympanocentesis and Tympanic Membrane Catheterization Under Otoendoscope for the Treatment of Secretory Otitis Media

目的观察耳内镜下鼓膜穿刺术与鼓膜置管术治疗分泌性中耳炎的临床疗效。方法选择2016年1月至2018年12月我院收治的分泌性中耳炎患者42例,随机分为两组各21例。观察组行耳内镜下鼓膜置管术,对照组患者行耳内镜下鼓膜穿刺术。比较两组患者的临床疗效,治疗前后的听力以及术后并发症。结果观察组的治疗总有效率显著高于对照组(90.48%vs.61.90%),差异有统计学意义(P<0.05)。治疗后,两组患者的骨导、气导值均明显下降,且观察组的骨导、气导值均显著低于对照组(P<0.05)。观察组的术后并发症发生率显著低于对照组(4.76%vs.28.57%),差异有统计学意义(P<0.05)。结论耳内镜下鼓膜置管术治疗分泌性中耳炎的临床疗效显著,可有效改善患者的听力水平,术后并发症发生率低。

Objective To observe the clinical curative effects of tympanocentesis and tympanic membrane catheterization under otoendoscope for the treatment of secretory otitis media. Methods 42 patients with secretory otitis media admitted to our hospital from January 2016 to December 2018 were selected and randomly divided into two groups, with 21 cases in each group. The observation group was treated with tympanic membrane catheterization under otoendoscope, while the control group was treated with tympanocentesis under otoendoscope. The clinical curative effect, the Hearing before and after treatment, and the complications after treatment were compared between the two groups. Results The total effective rate of treatment of observation group was 90.48%, significantly higher than 61.90% of control group (P <0.05). After treatment, both groups had significantly decreased bone conduction value and air conduction value, and the bone conduction value and air conduction value of observation group were significantly lower than those of control group (P <0.05). The incidence of postoperative complications of observation group was 4.76%, significantly lower than 28.57% of control group (P <0.05). Conclusions Tympanic membrane catheterization under otoendoscope for the treatment of secretory otitis media has significant clinical curative effect, which can effectively improve patients' hearing level, and has low incidence of postoperative complications.