耳内镜用于耳部常见疾病治疗的效果观察

发布时间：2018-07-03 03:35

本文选题：耳内镜 + 耳科疾病　；参考：《当代医学》2016年33期

【摘要】：目的探讨耳科疾病的耳内镜检查图像表现及诊断价值,分析耳内镜在耳科疾病治疗中的疗效。方法选取143例耳科疾病患者作为研究对象,选用耳内镜及其视频系统对所有患者进行常规鼓气耳镜检查,在耳内镜的介导下,行外耳道肉牙切除术、鼓膜穿孔整复术、鼓膜切开置通气管术等;通过耳科疾病的耳内镜检查图像表现、检查结果及微创手术治疗结果,综合评价耳内镜在耳科疾病诊治中的应用价值。结果耳内镜检查143例耳科疾病患者,其中急性中耳炎40例、慢性中耳炎34例、分泌性中耳炎20例、鼓膜穿孔17例、耳咽管阻塞15例、外耳道异物12例、疱疹性鼓膜炎5例;对143例患者进行耳内镜微创手术,中耳炎类患者临床总有效率为97.98%;外耳道异物类患者患者临床总有效率为92.59%;鼓膜穿孔类患者临床总有效率为94.12%;中耳炎类、外耳道异物类及鼓膜穿孔类患者的临床总有效率均无显著性差异;所有手术治疗患者,无出现继发性鼓膜穿孔、听力障碍及感染等并发症。结论耳内镜易于清晰显示及定位耳科疾病的病灶,在耳科疾病的随诊、影像结果保存及诊断准确性等方面具有显著性优势;在耳内镜介导下行耳科疾病手术治疗的疗效确切,具有可行性。
[Abstract]:Objective to investigate the imaging features and diagnostic value of otoscopy in otologic diseases and to analyze the curative effect of endoscopy in the treatment of ear diseases. Methods 143 patients with otological diseases were studied. All patients were examined by endoscope and video system. Under the guidance of endoscope, external meatocentesis and tympanic membrane perforation were performed. The application value of endoscopy in the diagnosis and treatment of ear diseases was comprehensively evaluated by endoscopy image findings, examination results and minimally invasive surgical treatment results. Results 143 cases of otological diseases were examined by endoscopy, including 40 cases of acute otitis media, 34 cases of chronic otitis media, 20 cases of secretory otitis media, 17 cases of tympanic membrane perforation, 15 cases of obstruction of otopharynx tube, 12 cases of foreign body of external auditory meatus and 5 cases of herpes tympanitis. In 143 patients undergoing endoscopic minimally invasive surgery, the total clinical effective rate of patients with otitis media was 97.98; the total clinical effective rate of patients with foreign body in external auditory canal was 92.59; the total effective rate of patients with tympanic membrane perforation was 94.12; and the total effective rate of otitis media was 94.12. There was no significant difference in the total effective rate of patients with external auditory canal foreign body and tympanic membrane perforation, and no complications such as secondary tympanic membrane perforation, hearing impairment and infection were found in all patients undergoing surgical treatment. Conclusion ear endoscopy is easy to clearly display and locate the focus of ear diseases, and has significant advantages in the follow-up of ear diseases, the preservation of imaging results and the accuracy of diagnosis, etc. It is feasible.
【作者单位】：湖南省常德市桃源县人民医院;
【分类号】：R764.9

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