耳内镜下鼓膜置管术与鼓膜穿刺术治疗分泌性中耳炎的效果比较

Comparison of Endoscopic Tympanic Membrane Catheterization and Tympanostomy for Secretory Otitis Media

目的比较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效果。方法将94例分泌性中耳炎患者按随机数字表法分为A、B组,每组47例。A组行耳内镜下鼓膜置管术治疗,B组行耳内镜下鼓膜穿刺术治疗。观察2组的临床疗效、中耳积液消退时间、术前术后听力的变化及术后并发症发生情况。结果A组与B组治疗总有效率分别为93.62%、74.47%,2组比较差异有统计学意义(χ^2=6.425,P=0.011);A组中耳积液消退时间、术后气导与骨导听力值、术后并发症发生率均较B组显著减少(P<0.05或P<0.001)。结论耳内镜下鼓膜置管术治疗分泌性中耳炎效果优于耳内镜下鼓膜穿刺术,可有效缩短中耳积液消退时间,促进鼓膜愈合,改善临床症状,提高听力,减少术后并发症。

Objective To compare the effects of endoscopic tympanic membrane catheterization and tympanostomy on secretory otitis media.Methods A total of 94 patients with secretory otitis media were randomly assigned to receive either endoscopic tympanic membrane catheterization(group A,n=47)or endoscopic tympanostomy(group B,n=47).Clinical efficacy,effusion subside time,hearing and postoperative complications were compared between the two groups.ResultsThe total effective rate in group A(93.62%)was higher than that in control group(74.47%)(χ^2=6.425,P=0.011).In addition,compared with group B,middle ear effusion subside time,postoperative air and bone conductance hearing and incidence of complications decreased in group A(P<0.05 or P<0.001).Conclusion Endoscopic tympanic membrane catheterization is superior to tympanostomy for treating secretory otitis media.It can effectively shorten effusion subside time,promote tympanic membrane healing,improve clinical symptoms,enhance hearing and reduce postoperative complications.