耳内镜下鼓室成形术对中耳炎伴有鼓膜穿孔患者的症状改善疗效及对其生活质量的影响

The effect of endoscopic tympanoplasty on symptom improvement and quality of life in patients with otitis media accompanied by tympanic membrane perforation

目的探讨中耳炎伴有鼓膜穿孔患者使用鼓室成形术进行治疗,其中耳内镜下鼓室成形术的应用对症状改善疗效及对其生活质量有何影响.方法选取青海红十字医院耳鼻喉科在2021年1月-2023年12月期间收治的中耳炎伴有鼓膜穿孔患者80例.以患者入院的先后顺序进行分组,平均每组40例患者,将其分入对照组、观察组.对照组使用显微镜鼓室成形术;观察组使用耳内镜下鼓室成形术治疗.分别对两组治疗有效性、治疗前后听力水平(气骨导差与气导听阈水平)、治疗前后生活质量、并发症发生率进行对比研究.结果观察组临床治疗总有效率高于对照组(P<0.05).治疗前两组患者的听力水平、生活质量评分对比差异不明显(P>0.05),治疗后观察组听力水平优于对照组(P<0.05);生活质量评分高于对照组(P<0.05).观察组患者治疗后并发症发生率低于对照组患者(P<0.05).结论耳内镜下鼓室成形术的应用效率高,使用该手术治疗的患者生活质量、听力恢复水平高于显微镜鼓室成形术患者,并发症情况少,具有使用安全性,值得推广.

Objective To investigate the therapeutic effect of endoscopic tympanoplasty on symptom improvement and quality of life in patients with chronic otitis media with tympanic membrane perforation.Methods A total of 80 patients with chronic otitis media and tympanic membrane perforation who were admitted to the Otorhinolaryngology Department of Haihong Red Cross Hospital from January 2021 to December 2023 were included in this study.The patients were randomly divided into two groups,with 40 patients in each group.The control group received traditional surgical treatment,while the observation group underwent endoscopic tympanoplasty.The clinical treatment outcomes,pre-and post-treatment hearing levels(air-bone gap and air conduction threshold),pre-and post-treatment quality of life,and incidence of complications were compared between the two groups.Results The clinical treatment rate in the observation group was higher than that in the control group(P<0.05).Before treatment,there was no significant difference in hearing levels and quality of life scores between the observation group and the control group(P>0.05).After treatment,the hearing levels in the observation group were better than those in the control group(P<0.05),and the quality of life scores were higher than those in the control group(P<0.05).The incidence of complications after treatment in the observation group was lower than that in the control group(P<0.05).Conclusion Endoscopic tympanoplasty improves the clinical treatment efficiency,quality of life,and hearing levels in patients with chronic otitis media with tympanic membrane perforation.Additionally,it has fewer complications and is relatively safe.