耳内镜下鼓膜修补术治疗慢性化脓性中耳炎鼓膜穿孔患者的效果分析

Analysis of the Effect of Endoscopic Tympanic Membrane Repair in the Treatment of Patients with Chronic Suppurative Otitis Media with Tym⁃panic Membrane Perforation

目的 探讨慢性化脓性中耳炎鼓膜穿孔患者采用耳内镜下鼓膜修补术治疗的临床效果。方法 方便选取2018年1月—2021年12月邳州东大医院收治的慢性化脓性中耳炎鼓膜穿孔患者52例,根据治疗方案不同将患者分为两组。研究组(26例)开展耳内镜下鼓膜修补术;对照组(26例)选择显微镜下鼓膜修补术;比对不同方案的治疗效果、疼痛评分、治疗满意度、听阈改善情况及治疗安全性。结果 研究组的治疗有效性为96.15%,高于对照组的65.38%,差异有统计学意义(χ^(2)=7.924,P<0.05)。研究组疼痛评分为(3.73±1.01)分,低于对照组的(5.21±1.35)分,差异有统计学意义(t=4.476, P<0.05);研究组治疗满意度评分为(91.52±6.15)分,高于对照组的(85.15±3.21)分,差异有统计学意义(t=4.682, P<0.05)。治疗前,两组患者的气导听阈值、骨导听阈值对比,差异无统计学意义(P>0.05);治疗后,研究组患者的气导听阈值、骨导听阈值为(36.61±3.19)、(39.15±3.02)Hz,略低于对照组的(37.56±3.41)、(39.95±3.81)Hz,差异无统计学意义(t=1.037、0.839,P>0.05)。研究组的不良反应发生率为3.85%低于对照组的30.77%,差异有统计学意义(χ^(2)=4.837, P<0.05)。结论 用耳内镜下鼓膜修补术治疗慢性化脓性中耳炎鼓膜穿孔,临床效果较好,可减轻患者疼痛,满足临床需求,同时具有较高的安全性。

Objective To investigate the clinical effect of endoscopic tympanic membrane repair in patients with chronic suppurative otitis media with tympanic membrane perforation.Methods From January 2018 to December 2021,52 patients with chronic suppurative otitis media with tympanic membrane perforation were treated in the Pi⁃zhou Dongda Hospital were conveniently selected.The patients were divided into two groups according to different treatment strategies.Study group(26 cases)performed endoscopic tympanic membrane repair,the control group(26 cases)selected tympanic membrane repair under microscope.The treatment effect,pain score,treatment satisfaction,hearing threshold improvement and treatment safety of different schemes were compared.Results The treatment effec⁃tiveness of the study group was 96.15%,which was higher than that of the control group(65.38%),and the difference was statistically significant(χ^(2)=7.924,P<0.05).The pain score of the study group was(3.73±1.01)points,which was lower than that of the control group(5.21±1.35)points,and the difference was statistically significant(t=4.476,P<0.05),the treatment satisfaction score was(91.52±6.15)points in the study group,which was higher than that of the control group(85.15±3.21)points,and the difference was statistically significant(t=4.682,P<0.05).Before treatment,there was statistically significant no difference in air conduction hearing threshold and bone conduction hearing threshold between the two groups(P>0.05);after treatment,the air conduction hearing threshold and bone conduction hear⁃ing threshold of the patients in the study group were(36.61±3.19)Hz,(39.15±3.02)Hz,slightly lower than those in the control group(37.56±3.41)Hz,(39.95±3.81)Hz,the difference was not statistically significant difference(t=1.037,0.839,P>0.05).The incidence of adverse reactions in the study group was 3.85%,which was lower than 30.77%of the control group,and the difference was statistically significan(χ^(2)=4.837,P<0.05).Conclusion Endoscopic tympanic membrane repair in the treatment of tympanic membrane perforation in chronic suppurative otitis media has good clini⁃cal effect,can relieve pain,meet clinical needs,and has high safety.