探讨鼓膜穿刺加压灌注治疗分泌性中耳炎的临床疗效张丹.docVIP

精品论文 参考文献 探讨鼓膜穿刺加压灌注治疗分泌性中耳炎的临床疗效张丹 大庆油田总医院 163000 【摘 要】目的 研究分析鼓膜穿刺加压灌注疗法治疗分泌性中耳炎的临床效果观察。方法 此次研究的对象是选择确诊为分泌性中耳炎患者88例，将所有患者的临床资料进行回顾性分析，并采用中耳鼓膜穿刺鼓室灌注加压治疗。比较不同性质分泌物患者的临床疗效及治疗前后患者鼓室导抗图变化。结果 胶冻状患者治疗时间最长，浆液性患者治疗时间最短，三组治疗时间比较差异有统计学意义（Plt;0.01）。浆液性总有效率94.0%，黏液性总有效率86.8%，胶冻状总有效率75.0%，三组比较有显著差异（Plt;0.05）。治疗前鼓室导图主要是B型，治疗后主要是A型，治疗前后比较差异有统计学意义（Plt;0.01）。结论 鼓膜穿刺加压灌注治疗分泌性中耳炎具有较好的临床疗效。 【关键词】鼓膜穿刺加压灌注；分泌性中耳炎；鼓室导抗图 Abstract：Objective：To study the clinical effect of the treatment of secretory otitis media with the treatment of secretory otitis media.Methods the study object is choose to make a definite diagnosis of secretory otitis media were 88 cases，all patients with clinical data were retrospectively analyzed，and the tympanic membrane tympanic puncture perfusion pressure therapy.Before and after treatment to compare the different properties of secretion in patients with tympanogram changes.The jelly treatment in patients with the longest，serous treatment in patients with the shortest time，three groups of treatment time，the difference has statistical significance（P lt; 0.01）.Serous total efficiency was 94.0%，mucinous total effective rate was 86.8%，jelly total effective rate was 75.0%，three groups compared with significant difference（P lt; 0.05）.Treatment of tympanic guide map is mainly type B，after treatment is mainly a type，before and after the treatment，the difference has statistical significance（P lt; 0.01）.Conclusion：the treatment of secretory otitis media with pressure perfusion in the treatment of secretory otitis media has good clinical efficacy. keyword：tympanic membrane puncture perfusion pressure；secretory otitis media；tympanogram 分泌性中耳炎是以中耳积液及听力下降为特征的中耳非化脓性炎性疾病，又称为渗出性中耳炎、非化脓性中耳炎、黏液性中耳炎、卡他性中耳炎、鼓室积液、浆液性中耳炎、浆液-黏液性中耳炎、无菌性中耳炎[1]。分泌性中耳炎的治疗原则是在治疗中耳黏膜感染以及变态反应的同时，改善咽鼓管的功能。本研究分析鼓膜穿刺加压灌注法治疗分泌性中耳炎的临床疗效，现将结果报道如下。 1 资料与方法 1.1 一般资料 选择2013年1月～2014年5月在我院治疗的分泌性中耳炎患者88例为研究对象，所有患者均诊断明确，88例患者共104耳，其中男59例，女29例，年龄4～58岁。测听力30～45 dB，AC、BC差gt;25 dB。12例患者年龄gt;50岁，为混合听力曲线；33例le;10