浅析耳窥镜下两种鼓膜手术方式治疗分泌性中耳炎的临床效果观察.docVIP

精品论文 参考文献 浅析耳窥镜下两种鼓膜手术方式治疗分泌性中耳炎的临床效果观察 大庆油田总医院 163000 【摘 要】目的 研究分析耳内镜监视下行单纯鼓膜切开术和鼓膜切开术后同时行鼓膜置管术两种手术方式对治疗儿童分泌性中耳炎的临床效果。方法 此次研究的对象是选择2013年1月～2014年6月本院共收治的104例分泌性中耳炎患儿，将其临床资料进行回顾性分析，并随机分为A组（60例）和B组（44例）。A组给予耳内镜监视下行单纯鼓膜切开术，B组给予耳内镜监视下行鼓膜切开术后同时行鼓膜置管术，术后观察分析两组手术方式治疗儿童分泌性中耳炎的疗效。结果 A组60例（116耳），治愈72耳，好转28耳，无效16耳，有效率为86.2%；B组44例（80耳）治愈64耳，好转12耳，无效4耳，有效率为95.0%，两组有效率比较差异无统计学意义（Pgt;0.05）。结论 耳内镜电视监视下单纯鼓膜切开术不仅可以减少鼓膜置管次数，而且还可以减少鼓膜穿孔，值得临床推广应用。 【关键词】分泌性中耳炎；鼓膜置管；中耳积液 [Abstract] Objective To study the clinical effect of two kinds of surgical methods for the treatment of secretory otitis media in children，and the effect of the treatment of children with secretory otitis media was analyzed by the method of simple incision under the ear endoscope. Method the study object is to choose a January 2013 to 2014 years 6 months were admitted to our hospital for 104 patients with secretory otitis media in children，the clinical data were retrospectively analyzed，and were randomly divided into a group(60 cases）and group B(n = 44）. Group a given ear endoscope monitor the downlink simple tympanic membrane incision，group B give ear surveillance endoscopy downward myringotomy and tympanic membrane catheter，postoperative observation and analyzing the two sets of surgical approach in the treatment of children with secretory otitis media effect. Results in group A，60 cases(116 ears），cure 72 ears，improved in 28 ears，invalid 16 ears，effective rate was 86.2%；group B in 44 cases(80 ears）cure 64 ears，12 ears improved，invalid 4 ears，efficiency was 95.0%，two groups efficiency differences had no statistical significance(P gt; 0.05）. Conclusion under the ear endoscope television monitoring，the simple incision can reduce the number of tube insertion，but also can reduce the perforation of the ear drum，which is worthy of clinical popularization and application. [Key words] secretory otitis media；insertion tube；middle ear effusion 分泌性中耳炎是由于咽鼓管堵塞、中耳黏膜分泌异常导致中耳腔内的负压、积液及听力下降、耳鸣、耳闷为主要特征的常见疾病[1]。一般儿童发病率较成人高，4