耳内镜下夹层法鼓膜修补术治疗老年慢性中耳炎鼓膜穿孔患者的疗效分析

Analysis of therapeutic effects of endoscopic interlayer myringoplasty in treatment of tympanic membrane perforation in elder-ly patients with chronic otitis media and tympanic membrane perforation

中文关键词: 老年  慢性中耳炎  耳内镜手术  夹层法  鼓膜穿孔  鼓膜修补术

英文关键词: elderly  chronic otitis media  endoscopic ear surgery  interlay technique  tympanic perforations  myringoplasty

中文摘要:

      目的 探讨耳内镜下夹层法鼓膜修补术对老年慢性中耳炎伴鼓膜穿孔患者的临床疗效.方法 回顾性分析2023年8月-2024年2月在江苏省南通市海门区人民医院耳鼻喉科接受鼓膜修补术的44例老年人慢性中耳炎患者(44耳)的临床资料,术后随访6个月,从鼓膜愈合率、听力改善方面分析疗效.结果 44例患者中,术后6个月鼓膜愈合率为100％.术前平均骨导听阈为(30.57±6.31)dB HL,术后为(23.23±4.02)dB HL,差异具有统计学意义(P＜0.05).术前平均气导听阈为(53.18±6.39)dB HL,术后为(29.55±4.42)dB HL,差异具有统计学意义(P＜0.05).术前平均气骨导差为(22.61±7.59)dB HL,术后为(6.32±4.89)dB HL,差异具有统计学意义(P＜0.05).结论 耳内镜下夹层法鼓膜修补术对于60岁及以上老年慢性中耳炎伴鼓膜穿孔患者安全且有效,患者手术成功率高,术后听力改善显著.

英文摘要:

      Objective To explore the clinical therapeutic effects of endoscopic interlayer myringoplasty in the treatment of tympanic membrane perforation in elderly patients with chronic otitis media and tympanic membrane perforation.Methods The clinical data of 44 elderly patients with chronic otitis media(44 ears)who received endoscopic interlayer myr-ingoplasty in Department of Otolaryngology,People's Hospital of Haimen District,Nantong City from August 2023 to February 2024 were retrospectively analyzed.They were followed up for 6 months after surgery.The therapeutic effect was analyzed from the aspects of the healing rate of tympanic membrane and hearing improvement.Results Among the 44 patients,the healing rate of tympanic membrane was 100％6 months after surgery.The preoperative average bone conduction hearing threshold was(30.57±6.31)dB HL,and the postoperative average bone conduction hearing threshold was(23.23±4.02)dB HL,with a statistically significant difference(P＜0.05).The preoperative average air conduction hearing threshold was(53.18±6.39)dB HL,and the postoperative average air conduction hearing threshold was(29.55±4.42)dB HL,with a statistically significant difference(P＜0.05).The preoperative average air-bone conduction difference was(22.61±7.59)dB HL,and the postoperative air-bone conduction difference was(6.32±4.89)dB HL,with a statistical significance(P＜0.05).Conclusion The endoscopic interlayer myringoplasty is safe and effective for patients aged 60 and above with chronic otitis media and tympanic membrane perforation,with a high success rate and significant improvement in postoperative hearing.