刘毅强 王婧 王文军

[摘要] 目的 為了改善中耳炎患者在临床上的治疗效果，以研究的形式，分析对分泌性中耳炎患者采取耳内镜下鼓膜置管术与鼓膜穿刺术的治疗效果的差异性。 方法 方便选取该院收治的分泌性中耳炎患者30例作为该次的观察对象，选取时间为2015年2月—2018年2月间，将其按照入院的先后顺序进行分组，一组为2015年2月—2016年6月间收治的分泌性中耳炎患者，对其采取耳内镜下鼓膜置管术进行治疗，将其设为微创组（n=15），一组为2016年7月—2018年2月间收治的分泌性中耳炎患者，对其采取鼓膜穿刺术进行治疗，将其设为常规组（n=15），分析两组的治疗有效率以及并发症发生率。结果 在对比治疗有效率上，微创组患者的治疗有效率为100.00%，常规组的治疗有效率为73.33%，微创组患者的治疗有效率显著高于常规组（χ2=4.615，P=0.032），在对比并发症的发生率上，微创组患者的并发症发生率为6.67%，常规组的并发症发生率为40.00%，微创组的并发症发生率明显低于常规组（χ2=4.658，P=0.031）。结论 在临床上对患有分泌性中耳炎的患者采取耳内镜下鼓膜置管术进行治疗，相比常规的鼓膜穿刺术治疗，更能有效地提高患者的临床治疗效果，降低并发症的发生，效果显著，可供临床借鉴并推广。

[关键词] 耳内镜;鼓膜置管术;鼓膜穿刺术;分泌性中耳炎;临床效果

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0054-03

Comparative Analysis of the Effect of Tympanostomy and Tympanic Puncture on Secretory Otitis Media

LIU Yi-qiang， WANG Jing， WANG Wen-jun

The First People's Hospital of Longnan， Longnan， Gansu Province， 746000 China

[Abstract] Objective To improve the clinical therapeutic effect of patients with otitis media， the differences in the therapeutic effects of endoscopic tympanostomy and tympanostomy in patients with secretory otitis media were analyzed in the form of research. Methods 30 patients with secretory otitis media admitted to the hospital were Conveniently selected as the subjects of observation. The time was from February 2015 to February 2018. They were grouped according to the order of admission. One group patients with secretory otitis media admitted February 2015 to June 2016 were treated with endoscopic tympanic membrane catheterization， which was set as a minimally invasive group （n=15）， and one group was from July 2016 to February 2018， patients with secretory otitis media were admitted and treated with tympanostomy. They were set as the conventional group （n=15）， and the treatment efficiency and complication rate were analyzed. Results In the effective treatment of contrast treatment， the effective rate of treatment in the minimally invasive group was 100.00%， and the effective rate in the conventional group was 73.33%.The effective rate of treatment in the minimally invasive group was significantly higher than that in the conventional group （χ2=4.615， P=0.032）， in the incidence of contrast complications， the incidence of complications in the minimally invasive group was 6.67%， the incidence of complications in the conventional group was 40.00%， the incidence of complications in the minimally invasive group， significantly lower than the conventional group （χ2=4.658， P=0.031）. Conclusion Clinically， patients with secretory otitis media should be treated with endoscopic tympanic membrane catheterization. Compared with conventional tympanic membrane puncture， it can effectively improve the clinical treatment effect and reduce the occurrence of complications. The effect is remarkable and can be used for clinical reference and promotion.

[Key words] Otoscope; Tympanic membrane catheterization; Tympanic membrane puncture; Secretory otitis media; Clinical effect

分泌性中耳炎在临床上又叫做渗出性中耳炎、卡他性中耳炎、浆液性中耳炎等，是临床上以听觉下降和中耳积液为临……