探讨耳内镜下外耳道清理联合抗真菌药物治疗霉菌性外耳道炎临床效果.docx

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探讨耳内镜下外耳道清理联合抗真菌药物治疗霉菌性外耳道炎临床效果

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【摘要】目的研究分析耳内镜下外耳道清理联合抗真菌药物治疗霉菌性外耳道炎的临床效果。方法此次研究的对象是选择152例霉菌性外耳道炎患者，将其临床资料进行回顾性分析，并随机分为A组（82例）和B组（70例）。两组患者均采用耳内镜下清理外耳道，A组患者联合派瑞松外耳道布药治疗，B组患者联合氟康唑滴耳液治疗，对两组治疗效果进行观察比较。结果A组痊愈73例，显效6例，无效3例，总有效率为96.3%，B组痊愈49例，显效8例，无效13例，总有效率为81.4%；A组总有效率高于B组，差异具有统计学意义（P0.05）。结论霉菌性外耳道炎采用耳内镜下局部负压吸引及盐水冲洗清理干净后耳道内派瑞松布药治疗，最大的优点是清除病变彻底，对患者损伤小、药物用量少且作用持久、全身吸收少，能有效控制真菌感染，疗效好，复发少，是目前霉菌性外耳道炎的首选治疗方案。?【关键词】外耳道清理；耳内镜；抗真菌药；霉菌性外耳道炎；疗效?

[Objective]toinvestigatetheclinicalefficacyofexternalearcanalcleaningcombinedwithantifungalagentsinthetreatmentoffungalotitisexterna.Methodsthesubjectsofthisstudywere152patientswithfungalotitisexterna,andtheclinicaldatawereretrospectivelyanalyzed.ThepatientswererandomlypidedintoAgroup(82cases)andgroupB(70cases).Twogroupsofpatientsweretreatedwithendoscopiccleaningmeatus,groupApatientswithPevisoneearclothtreatment,groupBpatientscombinedwithfluconazoleeardropswereobservedandcomparedtothetreatment,thetherapeuticeffectoftwogroups.ResultsAgroup73caseswerecured,6casesmarkedlyeffective,3casesineffective,thetotaleffectiveratewas96.3%,Bgroup49caseswerecured,8casesmarkedlyeffective,13casesineffective,thetotaleffectiveratewas81.4%;thetotaleffectiverateofgroupAwashigherthanthatofBgroup,thedifferencewasstatisticallysignificant(P0.05).ConclusionfungalotitisexternabyendoscopiclocalnegativepressureattractionandsalinetreatmentofearcanalPevisoneclothaftercleaning,thebiggestadvantageistheeliminationofthelesionscompletely,littleinjurytopatients,drugconsumptionandthelastingeffect,bodyabsorbless,caneffectivelycontrolthefungalinfection,goodcurativeeffect,lessrecurrence.Thepreferredtreatmentisthefungalotitisexterna.

[Keywords]externalauditorycanalcleaning;earendoscope;anti