耳内镜下鼓膜置管术治疗分泌性中耳炎临床剖析.docVIP

耳内镜下鼓膜置管术治疗分泌性中耳炎临床剖析 　　[摘要] 目的 分析耳内镜下鼓膜置管术治疗分泌性中耳炎的疗效。方法 方便选择该院门诊自2015年3月―2017年3月诊治的102例分泌性中耳炎患者，将其随机分为两组，对照组和观察组。每组51例。对照组患者给予药物治疗，观察组给予耳内镜下鼓膜置管术治疗，对比两组患者治疗效果。结果 观察组患者治疗有效率为92.16%明显高于对照组74.51%，相对比差异有统计学意义（P0.05）。观察组患者中耳积液时间为（6.22±1.20）d明显低于对照组（10.28±0.97）d，相对比差异有统计学意义（P0.05）。观察组复发率、不良反应发生率分别为5.88%、7.85%，均明显低于对照组21.57%、23.53%，相对比差异有统计学意义（P0.05）。结论 对分泌性中耳炎者采用耳内镜下行鼓膜置管术治疗，操作简单，可在门诊进行，没有较大的创伤，适用于基层医院。 　　[关键词] 耳内镜下鼓膜置管术；分泌性中耳炎；临床疗效 　　[中图分类号] R764 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0065-03 　　Clinical Analysis of Endoscopic Tympanic Membrane Catheterization for Secretory Otitis Media 　　TAO Yue-jin 　　Department of Otolaryngology， Jiangning Hospital， Nanjing， Jiangsu Province， 211100 China 　　[Abstract] Objective This paper tries to evaluate the efficacy of endoscopic resection of tympanic membrane in the treatment of secretory otitis media. Methods A total of 102 patients with secretory otitis media in this hospital from March 2015 to March 2017 were conveniently selected and randomly divided into two groups： the control group and the observation group， with 51 cases in each group. The patients in the control group were given the drug treatment. The observation group was treated with endoscopic resection of the tympanic membrane， and the treatment effect was compared between the two groups. Results The effective rate of treatment in the observation group was 92.16%， which was significantly higher than that in the control group of 74.51%，The difference was statistically significant（P0.05）. The time of secretory otitis media was（6.22±1.20）d in the observation group， significantly lower than that in the control group of （10.28±0.97）d，The difference was statistically significan（P0.05）. The recurrence rate and the incidence of adverse reactions were 5.88% and 7.85% in the observation group， which were significantly lower than those in the control group of 21.57% and 23.53%， The difference was statistically significan（P0.05）. Conclusion The endoscopic resection of the