刘红 付宝花 温立婷

    [摘要] 目的 比较耳内镜下鼓膜修补术与显微镜下鼓膜修补术的效果。 方法 分析中国人民解放军空军军医大学第一附属医院西京医院2016年1月～2017年12月耳鼻喉咽喉-头颈外科手术室收治的200例鼓膜穿孔患者临床资料，依据手术方式不同进行分组，耳内镜下鼓膜修补术组100例和显微镜下鼓膜修补术组100例。观察比较两组鼓膜修补术患者术中出血量、手术时间、术后疼痛分级、术后听力提高水平、手术总有效率、住院天数和并发症发生率情况。 结果 两组鼓膜修补术患者术中出血量、手术时间、术后听力提高水平和手术总有效率比较，差异均无统计学意义(P > 0.05)；耳内镜下鼓膜修补术组患者术后疼痛分级优于显微镜下鼓膜修补术组，住院天数少于显微镜下鼓膜修补术组，并发症发生率低于显微镜下鼓膜修补术组，差异有统计学意义(P < 0.05)。 结论 耳内镜下鼓膜修补术治疗鼓膜穿孔，疼痛感小，恢复快，并发症少，值得临床推广应用。

    [关键词] 耳内镜下鼓膜修补术；显微镜下鼓膜修补术；鼓膜穿孔；对比

    [中图分类号] R764 [文献标识码] A [文章编号] 1673-7210(2018)08(c)-0117-04

    [Abstract] Objective To compare the effecacy of otoendoscope myringoplasty and microscope myringoplasty. Methods The clinical data of 200 cases of tympanic membrane perforation patients treated in Department of Otolaryngology-Head and Neck Surgery， Xijing Hospital， the First Affiliated Hospital of the Fourth Military Medical University of PLA， from January 2016 to December 2017 were analyzed. They were divided into two groups by different operation method， with 100 cases in otoendoscope myringoplasty group and 100 cases in microscope myringoplasty group. The peroperative bleeding ......