耳内镜下鼓膜置管或穿刺治疗慢性分泌性中耳炎的临床效果对比评价
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摘要
目的探讨耳内镜下鼓膜置管或穿刺治疗慢性分泌性中耳炎的临床效果对比评价。方法选择从2016年1月～2017年12月收治的100例慢性分泌性中耳炎患者纳入研究,按照随机数字表法,分为两组。对照组行耳内镜下鼓膜穿刺治疗,研究组行耳内镜下鼓膜置管治疗。结果研究组治疗总有效率(96.00%)明显高于对照组治疗总有效率(74.00%)(P <0.05)。研究组并发症发生率(4.00%)明显低于对照组并发症发生率(20.00%)(P <0.05)。研究组治疗前的生活质量评分与对照组差异无统计学意义(P> 0.05);两组治疗后的各项生活质量评分均较治疗前有提高,且研究组治疗后的各项生活质量评分均明显高于对照组(P <0.05)。结论与耳内镜下鼓膜穿刺治疗慢性分泌性中耳炎比较,运用耳内镜下鼓膜置管治疗慢性分泌性中耳炎的临床疗效更显著,且治疗后并发症发生率更低,治疗后患者生活质量评分更高,更有利于患者疾病早日康复。
Objective To explore the comparative evaluation of clinical effects of auris endoscopic tympanotomy tube insertion or auripuncture in treatment of chronic secretory otitis media. Methods One hundred patients with chronic secretory otitis media who were treated in our hospital from January 2016 to December 2017 were selected in this study.According to the random number table method,they were divided into two groups.The control group was treated with auris endoscopic auripuncture while the study group was treated with auris endoscopic tympanotomy tube insertion. Results The total effective rate of treatment in the study group(96.00%) was significantly higher than that of the control group(74.00%)(P < 0.05).The incidence of complications in the study group(4.00%) was significantly lower than that in the control group(20.00%)(P < 0.05).There was no difference in the quality of life score before treatment between the study group and the control group(P > 0.05).The quality of life scores after treatment of the two groups were higher than those before treatment,and the quality of life scores of the study group were significantly higher than those of the control group(P < 0.05). Conclusion Compared with auris endoscopic auripuncture in treatment of chronic secretory otitis media,the clinical curative effect of auris endoscopic tympanotomy tube insertion in the treatment of chronic secretory otitis media is more significant.After treatment,the incidence of postoperative complications is lower and quality of life score of patients is higher.It is more conducive to the early recovery of patients.
Objective To explore the comparative evaluation of clinical effects of auris endoscopic tympanotomy tube insertion or auripuncture in treatment of chronic secretory otitis media. Methods One hundred patients with chronic secretory otitis media who were treated in our hospital from January 2016 to December 2017 were selected in this study.According to the random number table method,they were divided into two groups.The control group was treated with auris endoscopic auripuncture while the study group was treated with auris endoscopic tympanotomy tube insertion. Results The total effective rate of treatment in the study group(96.00%) was significantly higher than that of the control group(74.00%)(P < 0.05).The incidence of complications in the study group(4.00%) was significantly lower than that in the control group(20.00%)(P < 0.05).There was no difference in the quality of life score before treatment between the study group and the control group(P > 0.05).The quality of life scores after treatment of the two groups were higher than those before treatment,and the quality of life scores of the study group were significantly higher than those of the control group(P < 0.05). Conclusion Compared with auris endoscopic auripuncture in treatment of chronic secretory otitis media,the clinical curative effect of auris endoscopic tympanotomy tube insertion in the treatment of chronic secretory otitis media is more significant.After treatment,the incidence of postoperative complications is lower and quality of life score of patients is higher.It is more conducive to the early recovery of patients.
引文
[1]黄建晖,江蓉蓉.耳内镜下鼓膜置管或穿刺治疗慢性分泌性中耳炎的疗效比较[J].深圳中西医结合杂志,2018,28(2):139-140.
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[4]苏娟,吉晓滨,谢景华,等.耳内镜下鼓膜置管术治疗慢性分泌性中耳炎临床分析[J].中国医学创新,2017,14(14):92-95.
[5]徐文萍.小儿分泌性中耳炎治疗体会[J].心理医生,2017,23(35):133-134.
[6]马钊恩,翟锦明,廖礼兵,等.咽鼓管球囊扩张术治疗慢性分泌性中耳炎的短期疗效观察[J].山东大学耳鼻喉眼学报,2017,31(5):54-56.
[7]连海滨.腺样体切除联合耳内镜下鼓膜置管治疗儿童分泌性中耳炎[J].中国卫生标准管理,2018,9(12):37-39.
[8]邹健,李义森,方峥嵘,等.耳内镜下鼓膜切开置管术治疗慢性分泌性中耳炎88例临床观察[J].南通大学学报(医学版),2015,35(4):321-322.
[9]董保华,滕清晓,付国强,等.耳内镜下鼓膜置管治疗分泌性中耳炎138例疗效分析[J].青岛医药卫生,2015,47(4):261-262.
[10]仇弋戈,熊小星,唐春霞,等.硬性耳内镜鼓膜切开置管术治疗儿童分泌性中耳炎临床观察[J].西南军医,2018,20(2):164-165.
[11]朱珠,郑国玺,李琦,等.鼓膜置管或鼓膜穿刺对腺样体切除治疗儿童分泌性中耳炎的影响[J].重庆医学,2017,46(15):2041-2044.
[12]关兵,王莹,徐丽,等.局麻下咽鼓管球囊扩张术加鼓膜置管术治疗顽固性分泌性中耳炎[J].中国耳鼻咽喉头颈外科,2016,23(11):645-646.
[13]苏娟,吉晓滨,谢景华,等.耳内镜下鼓膜置管术治疗慢性分泌性中耳炎临床分析[J].中国医学创新,2017,14(14):92-95.
[14]孙小燕,毛庆杰,宗建华,等.耳内镜下钬激光鼓膜造孔治疗分泌性中耳炎[J].中国耳鼻咽喉头颈外科,2016,23(6):358-358,361.
[15]郭九海,陈丹丹.鼓膜穿刺与鼓膜置管治疗分泌性中耳炎效果比较[J].西南国防医药,2017,27(7):750-752.
[16]邵丽.耳内镜下鼓膜置管术在药物治疗无效的儿童分泌性中耳炎治疗中的应用效果[J].中国基层医药,2017,24(3):408-411.
[17]王玮,蒋源.耳内镜下鼓膜置管术治疗分泌性中耳炎64例[J].陕西医学杂志,2016,45(9):1215-1216.
[18]杨国宁,寸丽花,马亚,等.腺样体切除联合耳内镜下鼓膜置管术治疗儿童分泌性中耳炎[J].中国听力语言康复科学杂志,2017,15(2):100-102.
[19]徐志坚,骆辉珍,钟晓燕,等.CO2激光鼓膜造孔与鼓膜置管在治疗鼻咽癌放疗后分泌性中耳炎的对照研究[J].中国中西医结合耳鼻咽喉科杂志,2017,25(1):37-40.
[2]徐隽彦,刘春丽,倪立群,等.耳内镜下鼓膜置管或穿刺治疗慢性分泌性中耳炎的临床效果对比[J].中国耳鼻咽喉头颈外科,2015,22(1):21-23.
[3]姜伟.耳内镜下鼓膜置管术与耳内镜下穿刺术治疗慢性分泌性中耳炎的效果比较[J].中国实用乡村医生杂志,2018,25(3):57-59.
[4]苏娟,吉晓滨,谢景华,等.耳内镜下鼓膜置管术治疗慢性分泌性中耳炎临床分析[J].中国医学创新,2017,14(14):92-95.
[5]徐文萍.小儿分泌性中耳炎治疗体会[J].心理医生,2017,23(35):133-134.
[6]马钊恩,翟锦明,廖礼兵,等.咽鼓管球囊扩张术治疗慢性分泌性中耳炎的短期疗效观察[J].山东大学耳鼻喉眼学报,2017,31(5):54-56.
[7]连海滨.腺样体切除联合耳内镜下鼓膜置管治疗儿童分泌性中耳炎[J].中国卫生标准管理,2018,9(12):37-39.
[8]邹健,李义森,方峥嵘,等.耳内镜下鼓膜切开置管术治疗慢性分泌性中耳炎88例临床观察[J].南通大学学报(医学版),2015,35(4):321-322.
[9]董保华,滕清晓,付国强,等.耳内镜下鼓膜置管治疗分泌性中耳炎138例疗效分析[J].青岛医药卫生,2015,47(4):261-262.
[10]仇弋戈,熊小星,唐春霞,等.硬性耳内镜鼓膜切开置管术治疗儿童分泌性中耳炎临床观察[J].西南军医,2018,20(2):164-165.
[11]朱珠,郑国玺,李琦,等.鼓膜置管或鼓膜穿刺对腺样体切除治疗儿童分泌性中耳炎的影响[J].重庆医学,2017,46(15):2041-2044.
[12]关兵,王莹,徐丽,等.局麻下咽鼓管球囊扩张术加鼓膜置管术治疗顽固性分泌性中耳炎[J].中国耳鼻咽喉头颈外科,2016,23(11):645-646.
[13]苏娟,吉晓滨,谢景华,等.耳内镜下鼓膜置管术治疗慢性分泌性中耳炎临床分析[J].中国医学创新,2017,14(14):92-95.
[14]孙小燕,毛庆杰,宗建华,等.耳内镜下钬激光鼓膜造孔治疗分泌性中耳炎[J].中国耳鼻咽喉头颈外科,2016,23(6):358-358,361.
[15]郭九海,陈丹丹.鼓膜穿刺与鼓膜置管治疗分泌性中耳炎效果比较[J].西南国防医药,2017,27(7):750-752.
[16]邵丽.耳内镜下鼓膜置管术在药物治疗无效的儿童分泌性中耳炎治疗中的应用效果[J].中国基层医药,2017,24(3):408-411.
[17]王玮,蒋源.耳内镜下鼓膜置管术治疗分泌性中耳炎64例[J].陕西医学杂志,2016,45(9):1215-1216.
[18]杨国宁,寸丽花,马亚,等.腺样体切除联合耳内镜下鼓膜置管术治疗儿童分泌性中耳炎[J].中国听力语言康复科学杂志,2017,15(2):100-102.
[19]徐志坚,骆辉珍,钟晓燕,等.CO2激光鼓膜造孔与鼓膜置管在治疗鼻咽癌放疗后分泌性中耳炎的对照研究[J].中国中西医结合耳鼻咽喉科杂志,2017,25(1):37-40.