耳内镜与耳显微镜下鼓膜成形术的差异性比较

李慧林; 张志飞; 谢马先; 任同力; 王武庆

doi:10.13201/j.issn.1001-1781.2017.13.013

耳内镜与耳显微镜下鼓膜成形术的差异性比较

- 1. 喀什地区第二人民医院耳鼻咽喉头颈外科(新疆喀什, 844000);
- 2. 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科
基金项目:
上海市科委2015年国内科技合作领域项目（No：15695841000）

详细信息

通讯作者: 王武庆,E-mail:wwuqing@eent.shmu.edu.cn

中图分类号: R764.92

收稿日期: 2017-04-20

Differences in myringoplasty between endoscopic and microscope

- 1. Department of Otolaryngology-Head and Neck Surgery, the Second People's Hospital of Kashi, Kashi, 844000, China;
- 2. Department of Otolaryngology-Head and Neck Surgery, EENT Hospital of Fudan University

More Information

Corresponding author: WANG Wuqing, E-mail: wwuqing@eent.shmu.edu.cn

Received Date: 20 April 2017

摘要

摘要: 目的：对耳内镜及耳显微镜下鼓膜成形术的术中、术后相关指标进行回顾性分析，比较2种不同手术方式的差异性。方法：回顾性分析喀什地区第二人民医院耳鼻咽喉头颈外科2014-06-2015-08期间70例（70耳）行鼓膜成形术的慢性化脓性中耳炎患者的临床资料，根据手术方式分为耳内镜下鼓膜成形术30例（A组），耳显微镜下鼓膜成形术40例（B组）。比较2组的手术时间、术中出血量及术后的干耳时间、切口愈合瘢痕增生情况、鼓膜穿孔率、听力改善率，利用SPSS 19.0统计软件分析2组之间的差异性。结果：手术时间：A组为（35.23±6.38） min，B组为（42.60±7.97） min，差异有统计学意义（P<0.05）。术中出血量：A组为（7.33±2.11） ml，B组为（17.93±3.84） ml，差异有统计学意义（P<0.05）。术后干耳时间超过1个月：A组为40%，B组为75%，差异有统计学意义（P<0.05）。术后切口愈合瘢痕增生情况：A组为0%，B组为5%，差异无统计学意义（P>0.05）。术后鼓膜穿孔率：A组为3.33%，B组为7.50%，差异无统计学意义（P>0.05）。术后听力改善率：A组为76.67%，B组为80.00%，差异无统计学意义（P>0.05）。结论：耳内镜下鼓膜成形术是一种微创外科技术，与传统耳显微镜下手术相比，术后可以获得相同的疗效，但具有手术时间短、术中出血量少、术后干耳时间短、恢复快、切口美观等优点，值得临床推广应用。
- 中耳炎 /
- 鼓膜成形术 /
- 内镜术 /
- 鼓膜穿孔 /
- 听力
Abstract: Objective: The intraoperative and postoperative clinical indexes of myringoplasty performed by endoscope or by microscope were collected retrospectively, the differences between the two different surgical methods were analysized.Method: Retrospective analysis of the clinical data of 70 cases(70 ears) udergoing myringoplasty in the department of Otolaryngology-Head and Neck Surgery, at the Second People's Hospital of Kashi from June 2014 to August 2015. According to the surgical approach cases were divided into two groups, 30 cases in group A by endoscopic myringoplasty and 40 cases in group B by microscope myringoplasty. The operation time, blood loss, postoperative dry ear time, wound healing scar hyperplasia, tympanic membrane perforation rate and hearing improvement rate were compared between the two groups, and SPSS 19.0 statistical software was used to analyze the differences between the two groups.Result: The operation time:Group A had an average of(35.23±6.38)min, less than group B(42.60±7.97)min, with statistical difference(P<0.05). The intraoperative blood loss:the ave-rage of group A was(7.33±2.11)ml, less than group B(17.93±3.84)ml, with statistical difference(P<0.05). The postoperative dry ear time more than 1 month:group A was 40%,lower than Group B(75%),with statistical difference(P<0.05). The postoperative incision healing scar hyperplasia:group A was 0%, lower than group B(5%), no significant difference(P>0.05). The tympanic membrane perforation rate:group A was 3.33%,lower than group B(7.5%), no significant difference(P>0.05). The postoperative hearing improvement rate:group A was 76.67%,lower than group B(80.00%),no significant difference(P>0.05).Conclusion: Compared with the traditional microscope surgery, endoscopic myringoplasty is a minimally invasive surgical technique which can get the same curative effect, but with a shorter operation time, less intraoperative blood loss, dry ear in shorter time, recovery more quickly, beautiful incision and other advantages. So it is worthy of clinical application.
- otitis media /
- myringoplasty /
- endoscopy /
- tympanic membrane perforation /
- hearing

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