目的 分析耳内镜下鼓室成形术治疗慢性化脓性中耳炎的效果.方法 纳入2019年1月至2023年7月我院收治的慢性化脓性中耳炎患者98例,随机分为耳内镜组(耳内镜下鼓室成形术)与显微镜组(显微镜下鼓室成形术)各49例,比较两组患者的炎性因子水平、听力情况及并发症情况.结果 术后1个月,耳内镜组血清IL-8、IL-6水平低于显微镜组(P＜0.05).术后3个月,耳内镜组纯音平均听阈及气导阈值低于显微镜组(P＜0.05).耳内镜组术后并发症发生率低于显微镜组(P＜0.05).结论 耳内镜下鼓室成形术治疗慢性化脓性中耳炎患者的效果显著,对患者炎性反应及听力的改善效果更佳,且安全性更高.
Objective To analyze the effect of endoscopic tympanoplasty in the treatment of chronic suppurative otitis media.Methods 98 patients with chronic suppurative otitis media admitted to our hospital from January 2019 to July 2023 were selected and randomly divided into endoscopic group(endoscopic tympanoplasty)and microscopic group(microscopic tympanoplasty),with 49 cases in each group.The levels of inflammatory factors,hearing,and complications were compared between the two groups.Results 1 month after surgery,the serum IL-8 and IL-6 levels of the endoscopic group were lower than those of the microscopic group(P＜0.05).3 months after surgery,the average pure tone hearing threshold and air conduction threshold value of the endoscopic group were lower than those of the microscopic group(P＜0.05).The incidence of postoperative complications in the endoscopic group was lower than that in the microscopic group(P＜0.05).Conclusions Endoscopic tympanoplasty has significant effect in the treatment of patients with chronic suppurative otitis media,and has better improvement effect of inflammatory response and hearing,with higher safety.
张宝根;司广宇;任淑乾
新乡市延津县人民医院耳鼻喉科,河南新乡 453200长垣市人民医院耳鼻喉科,河南新乡 453400
临床医学
慢性化脓性中耳炎;耳内镜下鼓室成形术;效果
Chronic suppurative otitis media;Endoscopic tympanoplasty;Effect
《临床医学工程》 2024 (005)
531-532 / 2
10.3969/j.issn.1674-4659.2024.05.0531
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