本文關(guān)鍵詞： 中耳炎 鼓膜成形術(shù) 內(nèi)鏡術(shù) 鼓膜穿孔 聽力　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年13期 　論文類型：期刊論文

【摘要】：目的:對(duì)耳內(nèi)鏡及耳顯微鏡下鼓膜成形術(shù)的術(shù)中、術(shù)后相關(guān)指標(biāo)進(jìn)行回顧性分析,比較2種不同手術(shù)方式的差異性。方法:回顧性分析喀什地區(qū)第二人民醫(yī)院耳鼻咽喉頭頸外科2014-06-2015-08期間70例(70耳)行鼓膜成形術(shù)的慢性化膿性中耳炎患者的臨床資料,根據(jù)手術(shù)方式分為耳內(nèi)鏡下鼓膜成形術(shù)30例(A組),耳顯微鏡下鼓膜成形術(shù)40例(B組)。比較2組的手術(shù)時(shí)間、術(shù)中出血量及術(shù)后的干耳時(shí)間、切口愈合瘢痕增生情況、鼓膜穿孔率、聽力改善率,利用SPSS 19.0統(tǒng)計(jì)軟件分析2組之間的差異性。結(jié)果:手術(shù)時(shí)間:A組為(35.23±6.38)min,B組為(42.60±7.97)min,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)中出血量:A組為(7.33±2.11)ml,B組為(17.93±3.84)ml,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后干耳時(shí)間超過1個(gè)月:A組為40%,B組為75%,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后切口愈合瘢痕增生情況:A組為0%,B組為5%,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后鼓膜穿孔率:A組為3.33%,B組為7.50%,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后聽力改善率:A組為76.67%,B組為80.00%,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:耳內(nèi)鏡下鼓膜成形術(shù)是一種微創(chuàng)外科技術(shù),與傳統(tǒng)耳顯微鏡下手術(shù)相比,術(shù)后可以獲得相同的療效,但具有手術(shù)時(shí)間短、術(shù)中出血量少、術(shù)后干耳時(shí)間短、恢復(fù)快、切口美觀等優(yōu)點(diǎn),值得臨床推廣應(yīng)用。
[Abstract]:Objective: to analyze retrospectively the operative and postoperative indexes of tympanoplasty under ear endoscope and otoscope. Methods: a retrospective analysis of 70 cases (70 ears) of otolaryngology and head and neck surgery in the second people's Hospital of Kashgar region from 2014-06-2015-08 was made. Clinical data of patients with chronic suppurative otitis media undergoing tympanoplasty. According to the operation mode, 30 cases were divided into two groups: group A (n = 30) and group B (n = 40). The operative time, blood loss during operation and dry ear time after operation were compared between the two groups. Wound healing scar proliferation, tympanic membrane perforation rate, hearing improvement rate. SPSS 19.0 software was used to analyze the difference between the two groups. Results: the operation time of group A was 35.23 鹵6.38 minutes. Group B was 42.60 鹵7.97 min, the difference was statistically significant (P 0.05), and the intraoperative bleeding volume of group A was 7.33 鹵2.11 ml. Group B was 17.93 鹵3.84 ml, the difference was statistically significant (P 0.05). The dry ear time was more than 1 month after operation in group B and group B was 75%. The difference was statistically significant (P 0.05). The rate of scar proliferation in group 0: a was 0 and B was 5%. The rate of perforation of tympanic membrane was 3.33% and 7.50% in group B after operation. There was no significant difference (P 0.05). The improvement rate of hearing in group A was 76.6767 and 80.00% in group B. Conclusion: endoscope tympanoplasty is a minimally invasive surgical technique, which can obtain the same curative effect compared with traditional ear microscope surgery. But it has the advantages of short operation time, less intraoperative bleeding, short dry ear time after operation, quick recovery, beautiful incision and so on.
【作者單位】： 喀什地區(qū)第二人民醫(yī)院耳鼻咽喉頭頸外科;復(fù)旦大學(xué)附屬眼耳鼻喉科醫(yī)院耳鼻咽喉頭頸外科;
【基金】：上海市科委2015年國(guó)內(nèi)科技合作領(lǐng)域項(xiàng)目(No:15695841000)
【分類號(hào)】：R764.9
【正文快照】： 在耳顯微鏡下進(jìn)行耳科手術(shù)是目前的主流手術(shù)方式,既往耳內(nèi)鏡作為顯微手術(shù)的輔助工具,隨著傳統(tǒng)耳顯微外科手術(shù)的進(jìn)一步發(fā)展,目前耳內(nèi)鏡手術(shù)在耳外科領(lǐng)域也越來越受到重視[1]。隨著內(nèi)鏡技術(shù)的不斷發(fā)展,耳內(nèi)鏡技術(shù)逐漸開始在臨床上普及應(yīng)用,然而其應(yīng)用還有一定的局限性[2],而且目

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