耳内镜下鼓膜置管术治疗慢性分泌性中耳炎临床剖析.docVIP

耳内镜下鼓膜置管术治疗慢性分泌性中耳炎临床剖析 　　【摘要】 目的：观察并分析耳内镜下鼓膜置管术治疗慢性分泌性中耳炎的临床疗效。方法：选取76例慢性分泌性中耳炎患者作为研究对象，按照随机数字表法将所有患者分为观察组和对照组，每组38例，观察组患者采用耳内镜下鼓膜置管术进行治疗，对照组采用耳内镜下鼓膜穿刺术，对比两组患者的临床疗效、术后并发症和复发情况。结果：观察组中耳积液时间为（7.92±0.98）d，对照组为（11.53±2.02）d，两组比较差异有统计学意义（t=4.890，P=0.020）；观察组复发率为7.89%，明显低于对照组的23.68%，差异有统计学意义（ 字2=5.230，P=0.040）；观察组总有效率为94.74%，明显高于对照组的68.42%，差异有统计学意义（ 字2=6.710，P=0.010）；观察组术后并发症发生率为7.89%，对照组为31.58%，差异有统计学意义（ 字2=4.554，P=0.033）。结论：耳内镜下鼓膜置管术在慢性分泌性中耳炎治疗中，具有安全可靠、临床疗效显著、复发率低、并发症少等优点，值得临床推广应用。 　　【关键词】 耳内镜； 分泌性中耳炎； 鼓膜置管术； 鼓膜穿刺术 　　Clinical Analysis of Tube Insertion with Ear Endoscope in the Treatment of Chronic Secretory Otitis Media/SU Juan，JI Xiao-bin，XIE Jing-hua，et al.//Medical Innovation of China，2017，14（14）：092-095 　　【Abstract】 Objective：To observe and analyze the clinical analysis of tube insertion with ear endoscope in the treatment of chronic secreory otitis media.Method：A total of 76 patients with chronic secreory otitis media were selected as the research subjects.According to the random number table method，all patients were divided into the observation group and the control group，38 cases in each group.The observation group received tube insertion with ear endoscope，the control group received auripucture with ear endoscope treatmet.The clinical curative effect，postoperative recurrence and complications of two groups were compared.Result：The middle ear effusion time of the observation group was （7.92±0.98）d， which was significantly shorter than （11.53±2.02）d of the control group（t=4.890，P=0.020）.The recurrence rate of the observation group was 7.89%，which was significantly lower than 23.68% of the control group（ 字2=5.230，P=0.040）.The total effective rate of the observation group was 94.74%，the control group was 68.42%，the difference was statistically significant（ 字2=6.710，P=0.010）.The incidence rate of complication in the observation group was 7.89%，which was significantly lower than 31.58% in the control group（ 字2=4.554，P=0.033）.Conclusion：Tube insertion with ear e