鼻内镜下腺样体切除术在分泌性中耳炎治疗中的应用探讨

The Application of Endoscopic Adenoidectomy in the Treatment of Secretory Otitis Media

目的针对分泌性中耳炎患者按照鼻内镜下腺样体切除术进行治疗的实际效果加以分析。方法在本院于2010年1月至2017年5月所接收的分泌性中耳炎患者中任意抽选300例,盲选组内150例患者,按照常规腺样体刮除术治疗,为对照组,另150例患者则按照鼻内镜下腺样体切除术,为观察组。针对两组疗效间差异加以分析。结果在本次治疗中,观察组整体治疗有效率高达94.67%(142/150),远高于对照组78.00%(117/150)(P<0.05),差异具备统计学意义,在治疗期间,观察组共8例出现不良反应,而对照组在治疗期间则有17例患者出现不良反应,观察组不良反应发生率明显低于对照组(P<0.05),具备统计学意义。结论针对分泌性中耳炎患者按照鼻内镜下腺样体切除的方式进行治疗,可有效保障临床针对该部分患者诊治效率,且不宜导致患者出现不良反应,综合疗效较好。

Objective To analyze the effect of adenoidectomy under nasal endoscope in patients with secretory otitis media.Methods In our hospital from January 2010 to May 2017 received the secretory otitis media in patients with arbitrarily selected 300 cases,blind group selection in 150 cases,according to the conventional adenoidectomy,as control group,another 150 patients with nasal endoscopic adenoidectomy,as observation group.The differences between the two groups were analyzed.Results In the treatment,the observation group total effective rate of treatment up to 94.67 %(142/150),far higher than 78.00% in the control group(117/150),(P<0.05),the difference has statistical significance,during the treatment,the observation group of 8 cases of adverse reactions,while the control group during treatment while 17 patients had adverse reactions,the adverse reaction rate of observation group was significantly lower than the control group,with statistical significance(P<0.05).Conclusion The treatment for patients with secretory otitis media by endoscopic adenoidectomy method,can effectively guarantee the clinical efficiency in the diagnosis and treatment of patients with,and should not lead to adverse reactions,the comprehensive curative effect is better.