Effect of endoscopic tympanic membrane repair on chronic suppurative otitis media with perforation of tympanic membrane / 中国基层医药

ABSTRACT

Objective To investigate the effect of endoscopic tympanic membrane repair in the clinical treatment of patients with chronic suppurative otitis media with tympanic membrane perforation .Methods From November 2014 to September 2018,72 patients with chronic suppurative otitis media with tympanic membrane perforation in Taizhou Central Hospital were divided into control group and observation group according to different treatment methods , with 36 cases in each group.The control group underwent microsurgical tympanic membrane repair ,the observation group underwent endoscopic tympanic membrane repair.The bleeding volume and operation time of the two groups were compared.The pain degrees of the two groups were evaluated by numerical simulation scale ( VAS).The postoperative hospital stay and complications were recorded.The postoperative follow －up of 6 months was used to evaluate the aesthetics of the two groups.The hearing improvement status and treatment effect of the two groups were evaluated.Results The average surgical bleeding volume of the observation group was (6.14 ±1.25)mL,which was significantly less than that of the control group [( 19.87 ±2.65 ) mL], and the operation time was (75.69 ± 2.54)min,which was significantly shorter than that of the control group [( 102.34 ±3.69) min] ( t ＝28.116, 35.694,all P＜0.05).The VAS score of the observation group was (2.34 ±0.62) points,which was significantly lower than that of the control group [(3.59 ±0.85)points](t＝7.128,P＜0.05).The average length of hospital stay in the observation group was (4.89 ±1.25)d,which was significantly shorter than that in the control group [(9.18 ± 1.36)d](t＝13.935,P＜0.05).The incision satisfaction of the observation group was significantly higher than that of the control group(P＜0.05).The improvement in hearing of the observation group was (22.058 ±10.129) dB, which of the control group was (21.695 ±9.764)dB,the difference was not statistically significant (P＝0.487).The effective rate of the observation group was 94.44%(34／36),which of the control group was 91.67%(33／36) (χ2 ＝3.598,P＝0.165).The incidence rate of complications in the observation group was 2.78%(1／36),which was significantly lower than 16.67%(6／36) in the control group (χ2 ＝3.956,P＝0.046).Conclusion Chronic suppurative otitis media tympanic membrane perforation patients treatment with endoscopic tympanic membrane repair is more effective , and the surgical method is better after surgery ,so it is more acceptable to patients ,it is worthy of promoting.