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不同修补术治疗鼓膜穿孔患者的临床效果探讨

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目的 分析不同修补术治疗鼓膜穿孔患者的临床效果.方法 选取 60 例鼓膜穿孔患者作为研究对象,随机分为实验组与对照组,每组 30 例.对照组采取显微镜下鼓膜修补术治疗,实验组采取耳内镜下鼓膜修补术治疗.对比两组治疗效果、生活质量、疼痛评分、手术指标、纯音听阈、并发症发生及预后情况.结果 实验组患者的治疗总有效率 96.67%高于对照组的 76.67%(P<0.05).实验组患者的手术出血量(7.62±0.52)ml少于对照组的(15.52±1.15)ml,手术时间(53.25±3.62)min、住院时间(3.14±0.35)d短于对照组的(84.52±6.63)min、(4.82±0.68)d(P<0.05).实验组患者治疗后的纯音听阈(21.05±2.63)dB低于对照组的(29.83±3.65)dB(P<0.05).实验组患者治疗后的生理机能、生理职能、躯体疼痛、一般健康、精力、社会功能、情感职能、精神健康评分高于对照组(P<0.05).实验组患者并发症发生率 6.67%低于对照组的 26.67%(P<0.05);两组复发率对比差异无统计学意义(P>0.05).实验组患者治疗后的疼痛评分(2.25±0.36)分低于对照组的(4.36±1.05)分(P<0.05).结论 为鼓膜穿孔患者采取耳内镜下鼓膜修补术治疗可以有效改善患者的听力水平以及疼痛程度,保证患者预后的生活质量,同时还能提高治疗安全性,促进患者病情的康复.
Exploration of the clinical effects of different repair techniques for treating patients with tympanic membrane perforation
Objective To analyze the clinical effects of different repair techniques for treating patients with tympanic membrane perforation.Methods 60 patients with tympanic membrane perforation were selected as the research subjects.The patients were randomly divided into an experimental group and a control group,with 30 cases in each group.The control group was treated with microscopic tympanic membrane repair,while the experimental group was treated with endoscopic tympanic membrane repair.The treatment effect,quality of life,pain score,surgical-related indicators,pure-tone hearing threshold,complications and prognosis were compared between the two groups.Results The total effective rate of 96.67%in the experimental group was higher than 76.67%in the control group(P<0.05).In the experimental group,the amount of surgical bleeding of(7.62±0.52)ml was less than(15.52±1.15)ml in the control group;the operation time was(53.25±3.62)min and the hospitalization time was(3.14±0.35)d,which were shorter than(84.52±6.63)min and(4.82±0.68)d in the control group(P<0.05).After treatment,the pure-tone hearing threshold of(21.05±2.63)dB in the experimental group was lower than(29.83±3.65)dB in the control group(P<0.05).After treatment,the scores of physical functioning,role-physical,bodily pain,general health,energy,social functioning,role-emotional,and mental health in the experimental group were higher than those in the control group(P<0.05).The complication rate of 6.67%in the experimental group was lower than 26.67%in the control group(P<0.05).There was no statistically significant difference in the comparison of recurrence rates between the two groups(P>0.05).The pain score of(2.25±0.36)points in the experimental group after treatment was lower than(4.36±1.05)points in the control group(P<0.05).Conclusion Endoscopic tympanic membrane repair for patients with tympanic membrane perforation can effectively improve their hearing level and severity of pain,and ensure the quality of life of the patient's prognosis.At the same time,it can also improve treatment safety and promote the recovery of the patient's condition.

Endoscopic tympanic membrane repairMicroscopic tympanic membrane repairTympanic membrane perforationtreatment effect

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553500 贵州省六盘水市盘州市人民医院

耳内镜下鼓膜修补术 显微镜下鼓膜修补术 鼓膜穿孔 治疗效果

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(22)