两种方法治疗64例分泌性中耳炎患者的疗效对比
|
摘要
目的:观察内镜下置管与CO2激光鼓膜造孔术治疗分泌性中耳炎患者的临床疗效。方法:回顾性分析2009年7月-2011年2月笔者所在医院收治的64例分泌性中耳炎患者的病例资料,将所有患者随机分为内镜组和激光组,每组32例,激光组患者应用CO2激光鼓膜造孔术进行治疗,内镜组患者应用内镜下置管进行治疗,并对比两组的治疗效果。结果:激光组患者治疗效果明显优于内镜组,差异有统计学意义(P<0.05)。两组患者并发症发生率比较差异无统计学意义(P>0.05)。结论:应用CO2激光鼓膜造孔术治疗分泌性中耳炎疗效好,且此治疗技术易于操作,患者的痛苦小,但术中应注意操作细致避免并发症发生。
Objective:To observe the clinical curative effect of using endoscopic catheter and CO 2 laser tympanostomy in treating secretory otitis.Method:A retrospective analysis on materials of 64 cases with secretory otitis treated in the hospital in July 2009 to February 2011,all patients were randomly divided into endoscopic group and laser group,32 cases of each,the laser groups were treated with CO 2 laser tympanostomy treatment, and the endoscopic groups applied the endoscopic catheter treatment,then,compared the effects of the two sets of treatment.Result:The comparison of the curative effect of all patients shows that the treatment of the laser group were significantly better than of the endoscopy group,there was an obvious statistically significance( P <0.05).The difference comparison of their complications of the two groups of patients was with no statistically significance ( P >0.05).Conclusion:The application of CO 2 laser tympanostomy in treating secretory otitis has an ideal curative effect,and the treatment technology is easy to operation,the patient pain is little,but we should be careful in the operation so as to avoid the complications.
Objective:To observe the clinical curative effect of using endoscopic catheter and CO 2 laser tympanostomy in treating secretory otitis.Method:A retrospective analysis on materials of 64 cases with secretory otitis treated in the hospital in July 2009 to February 2011,all patients were randomly divided into endoscopic group and laser group,32 cases of each,the laser groups were treated with CO 2 laser tympanostomy treatment, and the endoscopic groups applied the endoscopic catheter treatment,then,compared the effects of the two sets of treatment.Result:The comparison of the curative effect of all patients shows that the treatment of the laser group were significantly better than of the endoscopy group,there was an obvious statistically significance( P <0.05).The difference comparison of their complications of the two groups of patients was with no statistically significance ( P >0.05).Conclusion:The application of CO 2 laser tympanostomy in treating secretory otitis has an ideal curative effect,and the treatment technology is easy to operation,the patient pain is little,but we should be careful in the operation so as to avoid the complications.
引文
[1]曹咏梅.鼓膜置管引流术治疗顽固性分泌性中耳炎的疗效观察[J].工企医刊,2008,21(1):51-53.
[2]陈穗俊,郑亿庆,区永康,等.硬管耳内镜下鼓膜置管治疗分泌性中耳炎疗效观察[J].听力学及言语疾病杂志,2007,15(1):7-10.
[3]梁健刚,陈靖,黄郁林,等.耳内镜下鼓膜穿刺与鼓膜置管及盐酸氨溴索冲洗中耳腔治疗鼻咽癌放疗后分泌性中耳炎的临床观察[J].中华耳科学杂志,2009,7(2):59-61.
[4]Prokopakis E P,Lachanas V A,Christodoulou P N.Laser-assisted tympanostomy in pediatric patients with serous otitis media[J].Otolaryngology-Head&Neck Surgery,2005,21(4):4342-4348.
[5]张晓惠,孙晓萍.激光造孔与鼓膜置管治疗分泌性中耳炎的疗效对比[J].包头医学院学报,2007,23(5):19-21.
[6]张耀利,樊忠,樊兆民.鼓膜置管术治疗分泌性中耳炎22例报告[J].山东医大基础医学院学报,1999,13(2):54-56.
[7]路婷,曹桂芳,郭爱萍.腺样体切除术联合显微镜下鼓膜置管术治疗儿童分泌性中耳炎[J].临床耳鼻咽喉头颈外科杂志,2012,26(4):42-45.
[8]Koopman J P,Reuchlin A G,Kummer E F.Laser myringotomy versus ventilation tubes in children with otitis media with effusion:A randomized trial[J].Laryagoscope,2004,10(5):215-219.
[2]陈穗俊,郑亿庆,区永康,等.硬管耳内镜下鼓膜置管治疗分泌性中耳炎疗效观察[J].听力学及言语疾病杂志,2007,15(1):7-10.
[3]梁健刚,陈靖,黄郁林,等.耳内镜下鼓膜穿刺与鼓膜置管及盐酸氨溴索冲洗中耳腔治疗鼻咽癌放疗后分泌性中耳炎的临床观察[J].中华耳科学杂志,2009,7(2):59-61.
[4]Prokopakis E P,Lachanas V A,Christodoulou P N.Laser-assisted tympanostomy in pediatric patients with serous otitis media[J].Otolaryngology-Head&Neck Surgery,2005,21(4):4342-4348.
[5]张晓惠,孙晓萍.激光造孔与鼓膜置管治疗分泌性中耳炎的疗效对比[J].包头医学院学报,2007,23(5):19-21.
[6]张耀利,樊忠,樊兆民.鼓膜置管术治疗分泌性中耳炎22例报告[J].山东医大基础医学院学报,1999,13(2):54-56.
[7]路婷,曹桂芳,郭爱萍.腺样体切除术联合显微镜下鼓膜置管术治疗儿童分泌性中耳炎[J].临床耳鼻咽喉头颈外科杂志,2012,26(4):42-45.
[8]Koopman J P,Reuchlin A G,Kummer E F.Laser myringotomy versus ventilation tubes in children with otitis media with effusion:A randomized trial[J].Laryagoscope,2004,10(5):215-219.