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持续灌流模式耳内镜在Ⅰ型鼓室成形术中的临床效果分析

袁群芳 熊子云 谢鹏 姚伟 张道行 祁宇扬 王为

湖北科技学院学报(医学版)2026,Vol.40Issue(2):157-160,4.
湖北科技学院学报(医学版)2026,Vol.40Issue(2):157-160,4.DOI:10.16751/j.cnki.2095-4646.2025092301

持续灌流模式耳内镜在Ⅰ型鼓室成形术中的临床效果分析

Analysis of the Clinical Efficacy of Continuous Irrigation Endoscopy in Type Ⅰ Tympanoplasty

袁群芳 1熊子云 1谢鹏 1姚伟 1张道行 1祁宇扬 1王为1

作者信息

  • 1. 仙桃市第一人民医院耳鼻喉科,湖北仙桃 433000
  • 折叠

摘要

Abstract

Objective To evaluate the clinical value of continuous irrigating mode endoscopic ear surgery(CIM-EES)in the treat-ment of chronic suppurative otitis media(CSOM).Methods A prospective controlled study was conducted on 80 CSOM patients,who were divided into two groups according to surgical approach:the experimental group(CIM-EES,n=40)and the control group(conventional en-doscopic ear surgery,n=40).Operative time,intraoperative blood loss,frequency of endoscope lens cleaning,number of surgical interrup-tions,time of ear packing removal,length of hospital stay,hospitalization costs,hearing recovery,and incidence of complications were com-pared between the two groups.Results Compared with the control group,the experimental group showed significant improvements in operative time,intraoperative blood loss,frequency of endoscope cleaning,number of surgical interruptions,time of ear packing removal,length of hos-pital stay,and hospitalization costs(all P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P=0.118).Conclusion CIM-EES can effectively shorten operative time,reduce intraoperative bleeding,improve surgical visualization,accelerate postoperative recovery.It demonstrates a favorable safety profile and is suitable for widespread clinical application.

关键词

慢性化脓性中耳炎/耳内镜手术/持续灌流/鼓室成形术/手术效率/术后恢复

Key words

Chronic suppurative otitis media/Endoscopic ear surgery/Continuous irrigation/Tympanoplasty/Surgical efficiency/Postoperative recovery

分类

医药卫生

引用本文复制引用

袁群芳,熊子云,谢鹏,姚伟,张道行,祁宇扬,王为..持续灌流模式耳内镜在Ⅰ型鼓室成形术中的临床效果分析[J].湖北科技学院学报(医学版),2026,40(2):157-160,4.

湖北科技学院学报(医学版)

2095-4646

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