探讨耳内镜在经耳道鼓膜修补术中应用效果.docVIP

探讨耳内镜在经耳道鼓膜修补术中应用效果 　　DOI：10.16662/j.cnki.1674-0742.2017.25.086 　　[摘要] 目的 探讨耳内镜在经耳道鼓膜修补术中的应用效果。方法 方便选取2015年1月―2016年12月该院收治的80例鼓膜穿孔患者作为研究对象。采用随机数字表法将其分为观察组与对照组，对照组40例接受显微镜下鼓膜修补术，观察组40例患者则采用耳内镜进行鼓膜修补术，比较两组患者治疗效果及手术相关指标。结果 观察组患者治疗后总有效率（97.50%）明显高于对照组（72.50%），差异有统计学意义（P0.05）；观察组患者平均手术用时[（10.9±4.2）min vs （36.9±4.5）min]、术中出血量[（7.0±3.1）mL vs （17.3±3.4）mL]以及住院时间[（3.5±1.1）d vs （7.6±2.5）d]均明?@低于对照组，差异有统计学意义（P0.05）。结论 耳内镜下经耳道鼓膜修补术治疗鼓膜穿孔疗效优于传统显微镜下鼓膜修补术，患者术中出血量更低，术后康复速度更快，具有临床应用及推广价值。 　　[关键词] 耳内镜；经耳道鼓膜修补术；鼓膜穿孔；临床疗效 　　[中图分类号] R764.23 [文献标识码] A [文章编号] 1674-0742（2017）09（a）-0086-03 　　Exploration of the Application Effect of Endoscopy in the Repair of Ear Canal Tympanic Membrane 　　DING Jian-hui 　　Department of Otolaryngology， the People’s Hospital of Dianjiang County， Chongqing， 408300 China 　　[Abstract] Objective This paper tries to explore the application of endoscopy in the treatment of ear canal tympanic membrane. Methods Convenient selection 80 cases of tympanic membrane perforation in this hospital from January 2015 to December 2016 were selected as the research objects and were divided into the observation group and the control group according to the random number table method. 40 cases in the control group received microscopical tympanostomy， 40 cases in the observation group received endoscopy tympanostomy， and then the curative effect and related operation indexes of the two groups were compared. Results The total effective rate in the observation group after treatment was 97.50%， significantly higher than the control group of 72.50%，with statistical significance（P0.05）； the average operation time of the observation group and the control group was[（10.9±4.2）minutes vs （36.9±4.5）minutes]， intraoperative bleeding was[（7.0±3.1）mL vs （17.3±3.4）mL and hospitalization time was[（3.5±1.1）days vs （7.6±2.5）days]， significantly lower than the control group， with statistical significance（P0.05）. Conclusion The treatment of tympanic membrane perforation through ear canal resect