微型通气管置管治疗分泌性中耳炎疗效分析

发布时间：2018-03-19 18:15

本文选题：微型通气管　切入点：置管　出处：《苏州大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的研究微型通气管置管治疗分泌性中耳炎的疗效。方法将80例100耳经鼓膜穿刺2-3次后无效，主要以耳闷为表现轻微的分泌性中耳炎患者和经鼓膜穿刺3次以上无效，病情反复发作，中耳积液粘稠不易排出，症状较顽固的分泌性中耳炎患者随机分成两组，，两组分别行微型通气管置管和哑铃状通气管置管，比较其疗效。结果对80例(100耳)随访6~12个月。经鼓膜穿刺2-3次后无效，主要以耳闷为表现轻微的分泌性中耳炎患者组：微型通气管置管，治愈24耳，好转3耳，无效3耳，有效率90%(27/30)。本组患者无一例患者遗留鼓膜穿孔。哑铃状通气管置管，痊愈26耳，好转2耳，无效2耳，有效率93.3%(28/30)。一耳遗留鼓膜穿孔。两组比较X2检验，两组有效率相比，差异无统计学意义。经鼓膜穿刺3次以上无效，病情反复发作，中耳积液粘稠不易排出，症状较顽固的分泌性中耳炎患者组：微型通气管置管，治愈3耳，好转6耳，无效11耳，有效率45%(9/20)。哑铃状通气管置管，痊愈10耳，好转6耳，无效4耳，有效率80%(16/20)。两组比较X2检验，两组有效率相比，差异有统计学意义。结论微型通气管置管治疗经鼓膜穿刺2-3次后无效，主要以耳闷为表现轻微的分泌性中耳炎患者，其管径较细，对鼓膜的损伤较小，不易脱落，疗效好，是一种简单易行，安全有效的手术方法。
[Abstract]:Objective to study the curative effect of mini-ventilation tube in the treatment of secretory otitis media. Methods 80 cases (100 ears) were not effective after 2-3 times of tympanic membrane puncture. The patients with secretory otitis media who showed slight effusion and the patients who had been punctured through tympanic membrane for more than 3 times were ineffectual. The disease occurred repeatedly and the mucus of middle ear effusion was not easy to be discharged. Patients with persistent secretory otitis media were randomly divided into two groups. Results 80 cases (100 ears) were followed up for 6 ~ 12 months. After 2-3 times of tympanic membrane puncture, the patients with secretory otitis media showed slight ear stuffiness. In the group of patients with secretory otitis media, 24 ears were cured, 3 ears were improved, and 3 ears were ineffective. The effective rate was 90 / 27 / 30. None of the patients had left a perforation of the tympanic membrane. The dumbbell tube was inserted into 26 ears, 2 ears were cured, 2 ears were improved, 2 ears were ineffective, and the effective rate was 93. 3% / 30%. One ear left with tympanic membrane perforation. Compared with the X2 test, the effective rate of the two groups was higher than that of the two groups. The difference was not statistically significant. After three times of tympanic membrane puncture, the patients with secretory otitis media with more stubborn symptoms were treated with mini-ventilation tube, 3 ears were cured, 6 ears were improved. Ineffectual 11 ears, effective rate 4545 / 20. Dumbbell ventilation tube placement, recovery 10 ears, improvement 6 ears, ineffective 4 ears, effective rate 80% 16 / 20. Compared with X2 test, the difference between the two groups was statistically significant. Conclusion Mini-ventilation tube placement is ineffective after 2-3 times of tympanic membrane puncture. It is a simple and easy method to treat patients with secretory otitis media with slight ear stuffiness. The diameter of the tube is smaller, the injury to the tympanic membrane is less, the tympanic membrane is not easy to fall off, and the curative effect is good. A safe and effective surgical procedure.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R764.21

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