论文部分内容阅读
目的:探讨采用鼓膜切开吸引刀与改良置管器置T型管行鼓膜置管术治疗分泌性中耳炎的临床疗效。方法:对2014-06-2015-12期间收治的87例分泌性中耳炎患者,随机分组为普通法置管组及改良法置管组。对总有效率、术后3个月内脱管率、瘢痕形成或鼓膜萎缩率、手术时间及一次性置管成功率等临床数据进行分析。结果:两组在总有效率、术后3个月内脱管率及瘢痕形成或鼓膜萎缩率方面差异均无统计学意义(P>0.05);普通法置管组手术时间为(11.4±4.3)min,改良法置管组手术时间为(8.1±3.6)min,普通法置管组一次性置管成功率81.2%,改良法置管组一次性置管成功率93.7%,差异均有统计学意义(P<0.05)。结论:采用改良法置管能有效缩短手术时间,提高一次性置管成功率,避免因反复操作而导致的鼓膜及外耳道损伤。
Objective: To investigate the clinical effect of tympanic membrane tympanotomy and tympanic membrane catheterization with tympanotomy incision and modified catheterization to treat secretory otitis media. Methods: A total of 87 patients with secretory otitis media were enrolled in this study. They were randomly divided into two groups: normal group and modified group. The clinical data of total effective rate, detachable rate within 3 months after surgery, scar formation or tympanic membrane atrophy rate, operation time and success rate of one-time catheterization were analyzed. Results: There was no significant difference between the two groups in the total effective rate, the rate of detachment within 3 months after operation and the degree of scar formation or tympanic membrane atrophy (P> 0.05). The operation time was 11.4 ± 4.3 ) min. The operation time of the modified method tube group was (8.1 ± 3.6) min, the success rate of one-time tube insertion was 81.2% in the common method tube group and 93.7% in the modified method tube group, the difference was statistically Significance (P <0.05). Conclusion: The modified method of catheter can effectively shorten the operation time and improve the success rate of one-time catheterization, to avoid repeated operation caused by tympanic membrane and external auditory canal injury.