鼓膜切开吸引刀与改良置管器在鼓膜置管术中的应用

发布时间：2018-11-24 19:14

【摘要】：目的:探讨采用鼓膜切开吸引刀与改良置管器置T型管行鼓膜置管术治疗分泌性中耳炎的临床疗效。方法:对2014-06-2015-12期间收治的87例分泌性中耳炎患者,随机分组为普通法置管组及改良法置管组。对总有效率、术后3个月内脱管率、瘢痕形成或鼓膜萎缩率、手术时间及一次性置管成功率等临床数据进行分析。结果:两组在总有效率、术后3个月内脱管率及瘢痕形成或鼓膜萎缩率方面差异均无统计学意义(P0.05);普通法置管组手术时间为(11.4±4.3)min,改良法置管组手术时间为(8.1±3.6)min,普通法置管组一次性置管成功率81.2%,改良法置管组一次性置管成功率93.7%,差异均有统计学意义(P0.05)。结论:采用改良法置管能有效缩短手术时间,提高一次性置管成功率,避免因反复操作而导致的鼓膜及外耳道损伤。
[Abstract]:Objective: to investigate the clinical effect of tympanic membrane insertion with tympanic membrane suction knife and modified tube insertion T tube in the treatment of secretory otitis media. Methods: 87 patients with secretory otitis media from 2014-06-2015-12 were randomly divided into two groups: the general method group and the modified method group. The total effective rate, the rate of extubation within 3 months after operation, the rate of scar formation or tympanic membrane atrophy, the time of operation and the success rate of one-off catheterization were analyzed. Results: there was no significant difference in the total effective rate, the rate of extubation and the rate of scar formation or tympanic membrane atrophy between the two groups (P0.05). The operative time of the general method group was (11.4 卤4.3) min, modified method, the operation time was (8.1 卤3.6) min, the success rate of the common method group was 81.2%, and the operation time of the normal method group was (11.4 卤4.3) min,. The success rate of one-time tube placement in the modified method group was 93. 7%, and the difference was statistically significant (P 0. 05). Conclusion: the modified method can effectively shorten the operation time, increase the success rate of one-off catheterization, and avoid the injury of tympanic membrane and external auditory canal caused by repeated operation.
【作者单位】：萍乡市人民医院耳鼻咽喉科;
【分类号】：R764.9

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