摘要
目的观察耳内镜下鼓膜置管术治疗分泌性中耳炎的疗效。方法将112例分泌性中耳炎患者分为对照组和治疗组,各53例。对照组采用传统药物治疗,治疗组采用耳内镜下鼓膜置管术治疗。结果 3个月后门诊复查鼓膜恢复情况、纯音测听和声导抗并结合患者当时症状、体征判断疗效。对照组75耳被治疗,痊愈37耳(49.3%),好转21耳(28.0%),总有效率为77.3%;治疗组77耳被治疗,痊愈56耳(72.7%),好转18耳(23.4%),总有效率达96.1%,两组间治愈率及总有效率均有显著性差异(P<0.05),治疗组均高于对照组。对照组治疗无效的17耳中,15耳于传统治疗3个月后在本院行耳内镜下鼓膜置管术,术后有6耳(40.0%)治愈,7耳(46.7%)好转,总有效率仍能达到86.7%。结论耳内镜下鼓膜置管术治疗分泌性中耳炎其总有效率及治愈率均明显高于传统药物治疗,且对传统药物治疗无效的患耳行耳内镜下鼓膜置管术仍能得到较好疗效,应在临床推广使用。
Objective To discuss the effect of the ear drum catheter endoscopic treatment of secretory otitis media.Methods 112 cases patients of secretory otitis media were divided into control and treatment group,each 53 cases,the control group treating by conventional drug,the treatment group treating by tympanic ear tube surgery.Results After 3 months the patient review the tympanic membrane recovery,pure tone audiometry and acoustic impedance and symptoms and signs to Judge efficacy.In the control group,75 ears were treated,cured 37 ears（49.3%）,improved in 21 ears（28.0%）,the total effective rate was 77.3%;treatment group 77 ears were treated,cured 56 ears（72.7%）,improved in 18 ears（23.4 %）,the total effective rate was 96.1%,and total cure rate between two groups there were significant differences（P0.05）,the treatment group were higher.Group therapy,in 17 ears which treatment failure in the control group,15 ears treating by tympanic membrane tube Endoscopic ear surgery after 3 months,6 case（40.0%） cured,7 ears（46.7%） improved,the total efficiency can still reach 86.7%.Conclusion Ear drum catheter endoscopic treatment of secretory otitis media and its total effective cure rates were significantly higher than conventional drug treatment,and the traditional drug-refractory patients and endoscopic ear drum line catheter can still get better efficacy,should be used in clinical.
出处
《实用心脑肺血管病杂志》
2011年第10期1750-1751,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
耳内镜
鼓膜置管术
分泌性中耳炎
The ear drum catheter endoscopic
Tympanic ear tube surgery
Secretory otitis media
