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内镜耳道入路手术和显微镜耳后开放手术治疗中耳胆脂瘤疗效分析 被引量:5
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作者 王莹 关兵 +2 位作者 常玲美 郭佳琪 张垚 《中国耳鼻咽喉头颈外科》 CSCD 2023年第9期599-601,共3页
目的探讨内镜耳道入路手术和显微镜耳后入路开放手术治疗中耳胆脂瘤的疗效。方法回顾性分析2019年1月~2021年6月在江苏省苏北人民医院接受手术的49例(49耳)中耳胆脂瘤患者的临床资料,采用传统显微镜耳后入路开放手术(开放手术组)25例,... 目的探讨内镜耳道入路手术和显微镜耳后入路开放手术治疗中耳胆脂瘤的疗效。方法回顾性分析2019年1月~2021年6月在江苏省苏北人民医院接受手术的49例(49耳)中耳胆脂瘤患者的临床资料,采用传统显微镜耳后入路开放手术(开放手术组)25例,采用耳内镜外耳道入路手术(内镜手术组)24例,评估内镜耳道入路手术和显微镜耳后入路开放手术与治疗相关的手术时间、并发症和复发之间的关系。结果开放手术组和内镜手术组的人口统计学、疾病特征、并发症、复发率间均无显著差异(P均>0.05)。开放手术组和内镜手术组手术时间有显著差异,内镜手术组用时更少,更具优势(t=7.15,P<0.05)。结论内镜下耳道入路是治疗中耳胆脂瘤的有效方法,由经验丰富的外科医师进行操作,其疗效与传统的显微镜耳后切开入路相似,用时更少。 展开更多
关键词 内窥镜检查(Endoscopy) 胆脂瘤 中耳(Cholesteatoma Middle Ear) 治疗结果(Treatment Outcome) 耳内镜 (otoendoscope)
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耳内镜治疗儿童外耳道胆脂瘤疗效分析
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作者 何兴波 张瑜 +2 位作者 刘艳 王锋 汪祖益 《中国耳鼻咽喉头颈外科》 CSCD 2022年第12期799-800,803,共3页
目的探讨耳内镜治疗儿童外耳道胆脂瘤的疗效。方法回顾性分析2017年1月~2020年1月重庆市开州区人民医院耳鼻咽喉头颈外科收治住院的15例儿童外耳道胆脂瘤临床资料,评估手术疗效。结果患儿平均年龄9.6岁(5~14岁),男6例,女9例;均为单耳发... 目的探讨耳内镜治疗儿童外耳道胆脂瘤的疗效。方法回顾性分析2017年1月~2020年1月重庆市开州区人民医院耳鼻咽喉头颈外科收治住院的15例儿童外耳道胆脂瘤临床资料,评估手术疗效。结果患儿平均年龄9.6岁(5~14岁),男6例,女9例;均为单耳发病;耳痛、听力下降、耳流脓为主要临床表现。根据黄宏明分期,Ⅰ期5例,Ⅱ期8例,Ⅲ期2例。伴有外耳道肉芽形成者5例,伴有外耳道狭窄者6例。所有患者均在耳内镜下行胆脂瘤清除术,伴有外耳道狭窄者,予以外耳道成形术,术后随访6个月~2年未见复发,穿孔者自行愈合。结论儿童外耳道胆脂瘤发病率低,耳内镜是治疗儿童外耳道胆脂瘤较好的治疗手段。 展开更多
关键词 耳道(Ear Canal) 胆脂瘤(Cholesteatoma) 儿童(Child) 耳内镜(Otoendoscope)
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Comparative Analysis of the Analgesic Effect of Different Nonsteroidal Drugs in Otoendoscopic Surgery
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作者 RUANYunfei LIAOJuan 《外文科技期刊数据库(文摘版)医药卫生》 2022年第5期090-093,共4页
Objective: to study the analgesic effect of different nonsteroidal drugs in ear endoscopic surgery. Methods: randomization, observation group in ear endoscopic surgery using flubiprofen, parexib sodium, propantatamo t... Objective: to study the analgesic effect of different nonsteroidal drugs in ear endoscopic surgery. Methods: randomization, observation group in ear endoscopic surgery using flubiprofen, parexib sodium, propantatamo three types of nonsteroidal drugs, control group in ear endoscopic surgery using relieve pain drugs, compared the two groups of ear endoscopic surgery patients VAS pain score, clinical surgery index, clinical treatment effect, adverse mood score, SF-36 quality of life score, adverse reactions. Results: VAS scores between patients in observation group A, B and C (P> 0.05), the comparison results of pain VAS score in patients undergoing ear endoscopy at 6h after surgery and 24h after surgery were significantly different (P <0.05);observation group A, observation group B, observation group C, flouproffenide, pracximide, and relieve pain (P> 0.05), the results of clinical surgical index of removing laryngeal mask varied significantly (P <0.05);the results of patients in observation group A, observation group B, observation group C, and relieve pain varied significantly (P <0.05);the results of observation group A, B, C and control patients with anxiety SAS, depression and SDS scores were not significantly different (P> 0.05);the comparison results of anxiety SAS score, depression SDS score and depression S D S score were significantly different (P <0.05);the comparison results of SF-36 quality of life score between observation group A, observation group B, observation group C and control group were not significantly different (P> 0.05);the comparison results of SF-36 quality of life score after surgery varied significantly (P <0.05);observation group A, observation group B, observation group C and control group of ear endoscopic surgery in surgery, flubiprofen, parexib sodium, propanatamol and relieve pain after digestive system abnormalities, hypoxemia, throat pain, dizziness and vomiting adverse effects (P <0.05). Conclusion: the analgesic effect of flubilofenen, parecoxib sodium and propantathamol is better than relieve pain, and the application of flubulofenen and propantamamol in ear endoscopic surgery can be promoted in large-scale clinical practice. 展开更多
关键词 different non-steroidal drugs otoendoscopic surgery analgesic effect
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