摘要
目的探讨乳突轮廓化联合鼓膜置管对难治性分泌性中耳炎治疗的临床疗效。方法选取116例难治性分泌性中耳炎患者,随机分为对照组和治疗组,对照组使用鼓膜置管治疗,治疗组使用鼓膜置管联合乳突轮廓化治疗,观察两组患者的总有效率与听力学检查结果。结果两组患者治疗后,治疗组患者总有效率(92.50%)明显高于对照组患者总有效率(80.56%),两组间差异显著(χ2=4.731 4,P<0.05),具有统计学意义;对照组与治疗组的气导言语频率和气骨导差均明显降低,差异极显著(P<0.01);与对照组比较,治疗组的气导言语频率和气骨导差降低更为明显,组间比较差异极显著(t=15.109 7,P<0.01;t=19.333 3,P<0.01),具有统计学意义。结论乳突轮廓化联合鼓膜置管治疗难治性分泌性中耳炎临床疗效明显,能显著改善患者的听力情况,值得大力推广。
Objective To explore the clinical efficacy of the mastoid contour joint tympanostomy tubes treatment for refractory otitis media. Methods 116 cases of refractory secretory otitis media were randomly divided into control group and treatment group. The control group applied tympanostomy tube,while the treatment group applied tympanostomy tube joint mastoid contour treatment. The patients’ total efficiency and audiological findings were analyzed. Results After treatment,total efficiency（ 92. 50%） in treatment group was significantly higher than control group with total efficiency（ 80. 56%）. Differences between the two groups（ χ2= 4. 7314,P ＆lt; 0. 05） were statistically significant. In control group and the treatment group speech frequency air conduction and air-bone gap were significantly lowered,and the difference was significant（ P ＆lt; 0. 01）. Compared with the control group,the treatment group’s speech frequency air conduction and air-bone gap decreased more obvious. The difference between groups was significant（ t = 15. 109 7,P ＆lt; 0. 01; t = 19. 333 3,P ＆lt; 0. 01） with statistical significance. Conclusions Mastoid outline gasification combined tympanostomy tube treatment of refractory secretory otitis media has clinical curative effect,which can significantly improve the patient’s hearing and is worthy of promotion.
出处
《安徽医药》
CAS
2014年第2期311-313,共3页
Anhui Medical and Pharmaceutical Journal
关键词
乳突轮廓化
鼓膜置管
难治性
分泌性中耳炎
mastoid outline gasification
tympanostomy tube
refractory
secretory otitis media
