论文部分内容阅读
目的 :探讨鼓膜成形术治疗外伤性鼓膜穿孔的临床意义。方法 :78例患者 (80耳 )中男 48例 ,女30例 ,1 1～ 64岁 ,平均 32 .4岁 ,随机分为两组。鼓膜成形术组 50例 (52耳 ) ,鼓膜穿孔后 1周内使用素高捷疗眼膏浸渍棉片贴补 ,对照组保守治疗。结果 :鼓膜成形术组鼓膜平均愈合时间 1 1 .5d,愈合率为 1 0 0 % ,对照组 1 5.4d,愈合率 92 .8% ,差异有显著性 (P<0 .0 5)。鼓膜成形术组未发生继发感染 ,对照组 6耳继发感染 ,差异有显著性 (P<0 .0 5)。结论 :鼓膜成形术治疗外伤性鼓膜穿孔可缓解症状 ,提高听力 ,减轻患者痛苦 ,促使鼓膜早期愈合 ,避免继发感染 ,操作简便 ,安全有效。
Objective: To investigate the clinical significance of tympanoplasty in the treatment of traumatic tympanic membrane perforation. Methods: 78 patients (80 ears), 48 males and 30 females, aged from 1 to 64 years (average 32.4 years) were randomly divided into two groups. In the group of tympanoplasty, 50 cases (52 ears) were treated with subcutaneous injection of Sucozao ointment impregnated cotton within 1 week after tympanic membrane perforation. The control group received conservative treatment. Results: The average healing time of the tympanic membrane in the tympanoplasty group was 11.5 days, and the healing rate was 100%. In the control group, the healing rate was 92.8% at 5.4 days and the difference was significant (P <0.05). There was no secondary infection in the tympanoplasty group, and there were significant differences in the secondary infection in the 6 ears of the control group (P <0.05). Conclusion: Tympanoplasty for the treatment of traumatic tympanic membrane perforation can relieve symptoms, improve hearing, alleviate the suffering of patients, promote early healing of tympanic membrane, and avoid secondary infection. It is simple, safe and effective.