耳内镜下内衬法修复对慢性化脓性中耳炎患者听力恢复、炎症反应的对比研究

doi:10.3969/j.issn.1001-8131.2025.06.013

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Abstract Objective Exploring the different effects of endoscopic inner lining tympanoplasty and traditional microscopic tympanoplasty on hearing recovery and inflammation control in patients with chronic suppurative otitis media. Method Using a random number table method,60 patients with chronic suppurative otitis media admitted to our hospital from September 2022 to September 2024 were divided into a control group and a study group,with 30 patients in each group.The control group patients received traditional microscopic tympanoplasty treatment,while the study group patients received ear endoscopic tympanoplasty treatment.Compare the perioperative indicators,pain levels within 24 hours after surgery,hearing recovery before and 2 months after surgery,as well as postoperative efficacy and complications between two groups of patients. Result Compared with the control group,the study group had a shorter surgical time(55.23±5.34)minutes,intraoperative blood loss(8.25±0.81)mL,and hospital stay(3.44±0.32)days(P<0.05);At 12 and 24 hours after surgery,compared with the control group,the VAS scores(3.58±0.31)and(2.26±0.21)in the study group were significantly lower(P<0.05);After surgery,the study group showed significantly better improvement in air conduction hearing valve(23.43±2.02)dB,bone conduction hearing valve(21.04±2.04)dB,and air bone conduction difference(10.68±4.21)dB compared to the control group,（P<0.05）; The incidence of complications in the study group was significantly lower at 3.33% compared to the control group,and the total effective rate between the two groups was compared(P>0.05). Conclusion Compared with traditional microscopic tympanoplasty,otoendoscopic tympanoplasty can significantly compress the required time during the surgical process,reduce intraoperative bleeding,and alleviate postoperative pain and discomfort to the greatest extent possible.It also reduces the incidence of complications such as inflammation and infection,and is more helpful for patients' hearing recovery.

Key words： Internal lining repair under otoscopy Chronic suppurative tympanitis Hearing recovery inflammatory reaction

Received: 28 July 2025

PACS:

R246.81

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	Li Guoli
	Chen Chen

Cite this article:

Li Guoli,Chen Chen. Comparative Study on the Effect of Endoscopic Inner Lining Repair on Hearing Recovery and Inflammatory Response in Patients with Chronic Suppurative Otitis Media[J]. journal1, 2025, 45(6): 47-50.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2025.06.013 OR http://www.hrbyybjb.org.cn/EN/Y2025/V45/I6/47

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