首页|耳内镜下耳屏软骨-软骨膜鼓膜成形术的临床作用分析

耳内镜下耳屏软骨-软骨膜鼓膜成形术的临床作用分析

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目的:探讨耳内镜下耳屏软骨-软骨膜鼓膜成形术的临床应用价值.方法:采用随机数字表法将本院耳鼻喉科收治的慢性化脓性中耳炎96例患者分成对照组和观察组,各48例;对照组予以显微镜下颞肌筋膜鼓膜成形术,观察组采用耳内镜下耳屏软骨-软骨膜鼓膜成形术;对两组的治疗效果进行比较分析.结果:观察组患者鼓膜生长愈合率为 93.75%(45/48),对照组为 77.08%(37/48),组间差异显著(P<0.05);观察组 0.5、1.0、2.0、4.0 kHz 听力水平较对照组高(P<0.05);观察组患者的物质生活、社会关系、躯体功能、心理功能等生活质量评分较对照组高(P<0.05).结论:对慢性化脓性中耳炎患者行耳内镜下耳屏软骨-软骨膜鼓膜成形术治疗,可提高鼓膜生骨膜生长愈合率,有效改善患者听力水平以及生活质量.
Clinical Analysis of the Effect of Tragus Cartilage-Perichondrium Tympanoplasty under Otoendoscopy
Objective:To investigate the clinical value of tragus cartilage-perichondrium tympanoplasty under otoendoscopy.Methods:A total of 96 patients with chronic suppurative otitis media admitted to the oto-laryngology department of our hospital were randomly divided into a control group and an observation group,with 48 patients in each group.The control group underwent temporal fascia tympanoplasty under a microscope,while the observation group underwent tragus cartilage-perichondrium tympanoplasty under otoendoscopy.The therapeutic effects of the two groups were compared and analyzed.Results:The growth and healing rate of tym-panic membrane in the observation group was 93.75%(45/48),while that in the control group was 77.08%(37/48),showing a significant difference between the two groups(P<0.05).The hearing levels at 0.5,1.0,2.0,and 4.0 kHz in the observation group were higher than those in the control group(P<0.05).The quality of life scores in terms of material life,social relationships,physical function,and psychological function in the observation group were higher than those in the control group(P<0.05).Conclusion:The application of tragus cartilage-perichondrium tympanoplasty under otoendoscopy in patients with chronic suppurative otitis media can improve the growth and healing rate of tympanic membrane,effectively enhance hearing levels,and improve the quality of life.

OtoendoscopyTragus cartilage-perichondrium tympanoplastyTherapeutic effect

张艳林、董博

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麻城市人民医院,湖北麻城 438300

耳内镜 耳屏软骨-软骨膜鼓膜成形术 治疗效果

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(3)
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