耳内镜下应用耳屏软骨-软骨膜复合体行Ⅰ型鼓室成形术的临床疗效研究

The clinical effect of type I tympanoplasty with tragus cartilage-perichondrium complex under otoendoscope

目的研究耳内镜下应用耳屏软骨-软骨膜复合体行Ⅰ型鼓室成形术的疗效。方法数据取自本院2018年1月-2022年1月收治98例Ⅰ型鼓室成形术患者,“双盲法”分基础组(显微镜治疗,n=48)、研讨组(耳内镜治疗,n=48),两组疗效比较。结果术前比较临床指标无差异,P>0.05;术后较基础组,研讨组气道听阈、气骨导差更低;手术、住院时间更短,术中出血量更少、听力提高幅度更高;研讨组有效率(97.92%)高于基础组(85.42%),研讨组并发症率(4.17%)低于基础组(16.67%),P<0.05(具有统计学意义)。结论Ⅰ型鼓室成形术患者行耳内镜下选耳屏软骨-软骨膜复合体治疗可改善听力水平、提高气道听阈及气骨导差,达到预期手术效果、减少并发症,值得推崇。

Objective To study the effect of type I tympanoplasty with tragus cartilage-perichondrium complex under otoendoscope.Methods From January 2018 to January 2022,98 cases of type I tympanoplasty were treated in our hospital.The patients were divided into two groups:the control group(treated by microscope,N=48)and the Observation Group(treated by OTOENDOSCOPE,N=48),the curative effect of the two groups was compared.Results There was no significant difference in the clinical parameters before operation,P>0.05;after operation,the auditory threshold and air-bone conduction difference in the observation group were lower than those in the control group,and the operation and hospitalization time were shorter in the observation group,the effective rate(97.92%)in the observation group was higher than that(85.42%)in the control group,and the complication rate(4.17%)in the Observation Group was lower than that(16.67%)in the control group,P&LT;0.05(with statistical significance).Conclusion The treatment of type I tympanoplasty with tragus cartilage-perichondrium complex under otoendoscope can improve the hearing level,increase the auditory threshold of airway and the difference of air-bone conductance,achieve the expected operative effect and reduce the complications,worthy of praise.