Comparison of curative effect of ear endoscope guided and ear microscope guided myringoplasty on chronic suppurative otitis media
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目的 比较耳内镜与耳显微镜下鼓膜成形术治疗慢性化脓性中耳炎(CSOM)的临床效果。 方法 前瞻性研究。抽取2022年1月至2023年4月许昌市中心医院收治的CSOM患者74例，按照随机数字表法分为对照组与研究组，每组37例。对照组采用耳显微镜下鼓膜成形术，研究组采用耳内镜下鼓膜成形术。比较两组围术期指标、术后疼痛程度[视觉模拟评分法(VAS)评分]、手术前后听力水平(气导听阀、骨导听阀)及并发症发生率。 结果 研究组术中出血量[(8.59±0.82)ml]少于对照组[(19.13±1.93)ml]，手术时间、住院时间[(56.48±5.36)min、(3.41±0.35)d]短于对照组[(97.29±9.74)min、(5.06±0.58)d]，P<0.05。术后12、24 h，研究组VAS评分[(3.62±0.32)、(2.31±0.23)分]低于对照组[(4.67±0.48)、(3.52±0.35)分]，P<0.05。术后2个月，研究组气导听阀、骨导听阀水平[(23.51±2.03)、(21.06±2.06)dB]低于对照组[(27.49±2.74)dB、(28.34±2.75)dB]，P<0.05。研究组并发症发生率(2.70%，1/37)低于对照组(21.62%，8/37)，差异有统计学意义(P<0.05)。 结论 与耳显微镜下鼓膜成形术相比，耳内镜下鼓膜成形术治疗CSOM的效果更好，能减少术中出血量，缩短手术和住院时间，减轻机体疼痛，改善患者听力水平，且术后并发症少。 Objective To compare the application effects of ear endoscope guided and ear microscope guided myringoplasty in the treatment of chronic suppurative otitis media (CSOM). Methods The prospective study was conducted on a total of 74 patients with CSOM treated in Xuchang Central Hospital from January 2022 to April 2023. The selected patients were divided into control group and study group by random number table method, with 37 cases in each group. The control group was treated by ear microscope guided myringoplasty, and the study group was treated by ear endoscope guided myringoplasty. The perioperative indicators, postoperative pain degree assessed by visual analogue scale (VAS) score, preoperative and postoperative hearing level (air conduction and bone conduction), and incidence of complications were compared between the two groups. Results The intraoperative blood loss in the study group was (8.59±0.82) ml, less than the (19.13±1.93) ml in the control group (P<0.05) the operation time and hospital stay in the study group were (56.48±5.36) min and (3.41±0.35) d, respectively, which were shorter than the (97.29±9.74) min and (5.06±0.58) d in the control group (P<0.05). The 12- and 24-hour postoperative VAS scores of the study group were 3.62±0.32 and 2.31±0.23, respectively, which were lower than the 4.67±0.48 and 3.52±0.35 of the control group (P<0.05), correspondingly. Two months after surgery, the levels of air and bone conduction hearing in the study group were (23.51±2.03) dB and (21.06±2.06) dB, respectively, which were lower than the (27.49±2.74) dB and (28.34±2.75) dB in the control group (P<0.05). The incidence of complications in the study group (2.70%, 1/37) was lower than that in the control group (21.62%, 8/37),P<0.05. Conclusions Compared with ear microscope guided myringoplasty, ear endoscope guided myringoplasty has better effects in the treatment of CSOM, which can reduce intraoperative blood loss, shorten operation time and hospital stay, relieve body pain, and improve hearing level, with fewer postoperative complications.
Objective To compare the application effects of ear endoscope guided and ear microscope guided myringoplasty in the treatment of chronic suppurative otitis media (CSOM). Methods The prospective study was conducted on a total of 74 patients with CSOM treated in Xuchang Central Hospital from January 2022 to April 2023. The selected patients were divided into control group and study group by random number table method, with 37 cases in each group. The control group was treated by ear microscope guided myringoplasty, and the study group was treated by ear endoscope guided myringoplasty. The perioperative indicators, postoperative pain degree assessed by visual analogue scale (VAS) score, preoperative and postoperative hearing level (air conduction and bone conduction), and incidence of complications were compared between the two groups. Results The intraoperative blood loss in the study group was (8.59±0.82) ml, less than the (19.13±1.93) ml in the control group (P<0.05) the operation time and hospital stay in the study group were (56.48±5.36) min and (3.41±0.35) d, respectively, which were shorter than the (97.29±9.74) min and (5.06±0.58) d in the control group (P<0.05). The 12- and 24-hour postoperative VAS scores of the study group were 3.62±0.32 and 2.31±0.23, respectively, which were lower than the 4.67±0.48 and 3.52±0.35 of the control group (P<0.05), correspondingly. Two months after surgery, the levels of air and bone conduction hearing in the study group were (23.51±2.03) dB and (21.06±2.06) dB, respectively, which were lower than the (27.49±2.74) dB and (28.34±2.75) dB in the control group (P<0.05). The incidence of complications in the study group (2.70%, 1/37) was lower than that in the control group (21.62%, 8/37),P<0.05. Conclusions Compared with ear microscope guided myringoplasty, ear endoscope guided myringoplasty has better effects in the treatment of CSOM, which can reduce intraoperative blood loss, shorten operation time and hospital stay, relieve body pain, and improve hearing level, with fewer postoperative complications.
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