鼓膜置管联合咽鼓管吹张治疗慢性分泌性中耳炎的疗效分析
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徐州医科大学附属徐州儿童医院耳鼻咽喉头颈外科 江苏 徐州 221006

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Analysis of the Efficacy of Trans-tympanic catheter insertion Combined with Eustachian tube insufflation in treament of persistent otitis media with effusion
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    摘要:

    目的:探讨鼓膜置管联合咽鼓管吹张治疗慢性分泌性中耳炎的疗效。方法:收集2018年01月~2020年06月在我科治疗的98例(127耳)分泌性中耳炎患者的临床资料,所有研究对象病史均>3月。按照随机数字法分为观察组(鼓膜置管联合咽鼓管吹张)49例(59耳)和对照组(单纯鼓膜置管)49例(68耳),比较两组疗效及并发症。结果: 观察组49例(59耳)治愈55耳、好转3耳,总有效率98.31%(58/59),对照组49例(68耳)治愈50耳,好转9耳,总有效率86.76%(59/68),两组差异有统计学意义(P<0.05);两组均未出现鼓膜穿孔、眩晕、中耳感染等不良反应。结论:儿童慢性OME保守治疗无效时,先行鼓膜置管术,若疗效不满意或者慢性复发者可选择鼓膜置管联合咽鼓管吹张。

    Abstract:

    Objective To investigate the efficacy of trans-tympanic catheter insertion combined with eustachian tube insufflation in treament of persistent otitis media with effusion. Methods Collected the clinical data of 98 patients(127 ears) with otitis media with effusion (OME) who were treated in our department from January 2018 to June 2020,and the clinical histories of all the patients were more than three months.The patients were divided into observation group and control group according to the random digital method. The observation group of 49 cases (59 ears) was treated with trans-tympanic catheter insertion combined with eustachian tube insufflation and the other group of 49 cases (68 ears) was treated with trans-tympanic catheter insertion alone, and compared the efficacy and complications between the two groups.Results In the observation group of 49 cases (59 ears), 55 ears were cured,3 ears were improved,the total effective rate was 98.31%(58/59), In the control group of 49 cases (68 ears), 50 ears were cured , 9 ears were improved,the total effective rate was 86.76%(59/68), the difference between the two groups was significant (P <0.05).The two groups had no adverse effects such as tympanic membrane perforation, vertigo and middle ear infection.Conclusion When the conservative treatment of persistent otitis media effusion in children is ineffective, trans-tympanic catheter insertion can be performed first. If the efficacy is not satisfactory or Chronic relapses, trans-tympanic catheter insertion combined with eustachian tube insufflation can be selected.

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  • 收稿日期:2021-11-22
  • 最后修改日期:2021-12-20
  • 录用日期:2022-01-11
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