耳内镜下鼓膜成形术治疗慢性化脓性中耳炎的疗效观察

Observation on the Effect of Tympanoplasty under Otoscope in the Treatment of chronic suppurative Otitis Media

目的探讨慢性化脓性中耳炎(CSOM)采用耳内镜下鼓膜成形术的效果。方法采用随机数字表法将罗山县人民医院2017年5月至2019年5月收治的80例CSOM患者分为两组,各40例。观察组采用耳内镜下骨膜成形术,对照组采用传统鼓室成形术,比较两组临床疗效、临床指标及并发症发生率。结果观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);观察组术中出血量、术后24 h时视觉模拟评分法(VAS)评分、住院时间及手术时间均显著低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论CSOM患者采用耳内镜下鼓膜成形术治疗的效果显著,且创伤较小,术后疼痛轻微,具有一定的安全性。

Objective To explore the effect of tympanoplasty under otoscope for chronic suppurative otitis media(CSOM).Methods A random number table method was used to divide 80 patients with CSOM admitted to Luoshan County People’s Hospital from May 2017 to May 2019 into two groups,40 cases in each group.The observation group used tympanoplasty under otoscope,and the control group used traditional tympanoplasty.The clinical efficacy,clinical indicators,and complication rate of the two groups were compared.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05);the intraoperative blood loss,visual analogue scale(VAS)score at 24 h postoperatively,hospital stay and operation time in observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05);the postoperative complication rate in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of tympanoplasty under otoscope for CSOM patients is significant,the trauma is small,the postoperative pain is mild,and it has certain safety.