Đánh giá kết quả vá nhĩ đơn thuần qua nội soi điều trị viêm tai giữa mạn tính ổn định có thủng màng nhĩ tại Bệnh viện Đa khoa thành phố Cần Thơ và Bệnh viện Trường Đại học Y dược Cần Thơ năm 2019-2021

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Tác giả: Hữu Nghị Dương, Triều Việt Nguyễn, Huỳnh Phương Thảo Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 636.708978 Dogs

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 45422

Bộ sưu tập: Metadata

ID: 498695

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Describing the clinical, subclinical characteristics and assessing the results and figured out some relating elements of the endoscopic tympanoplasty in patients having chronic otitis media with tympanic perforation. Subjects and methods: A descriptive cross-sectional study, prospective design with clinical interventions on 71 cases of chronic otitis media with tympanic perforation were doing endoscopic tympanoplasty by using underlay technique. Results: There were 71 cases included in the study, of which 52 were female and 19 were male. The age group from 16 to 50 years old accounted for the highest rate of 67.6%
the remaining group of patients over 50 years old accounted for 32.4%, the average age of the study group was 44.27 ± 13.4 years old. The rate of healing of the tympanic membrane after 1 month was 94.4% and after 3 months, the healing rate increased to 97.2%. The average level of hearing loss before surgery was 40.66 ± 12.44 dB, the average hearing improved after 3 months to 27.62 ± 9.17 dB. Conclusions: Up to 97.2% of patients have symptoms of persistent drainage from the middle ear. The rate of healing of the tympanic membrane after 1 month was 94.4% and after 3 months, the healing rate increased to 97.2%. After 3 months of tympanoplasty surgery, pure tone average improved from 40.66dB ± 12.44 to 27.62 ± 9.17 dB.Mô tả đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả điều trị phẫu thuật vá nhĩ đơn thuần qua nội soi bằng màng sụn nắp bình tai. Đối tượng và phương pháp: Nghiên cứu tiến cứu có can thiệp lâm sàng trên 71 bệnh nhân từ 16 tuổi trở lên được chẩn đoán VTGMT ổn định có thủng màng nhĩ được điều trị phẫu thuật vá nhĩ đơn thuần qua nội soi bằng màng sụn nắp bình tai. Địa điểm tại Bệnh viện Đa khoa Thành Phố Cần Thơ và Bệnh viện Trường Đại học Y Dược Cần Thơ. Thời gian từ tháng 02-2019 đến tháng 04-2021. Kết quả: Có 71 trường hợp được đưa vào nghiên cứu, trong đó có 52 nữ và 19 nam, Nhóm tuổi từ 16 - 50 tuổi chiếm tỷ lệ cao nhất 67,6%
còn lại nhóm bệnh nhân trên 50 tuổi chiếm 32,4%, độ tuổi trung bình của nhóm nghiên cứu là 44,27 ± 13,4 tuổi. Tỷ lệ lành màng nhĩ sau 1 tháng là 94,4% và sau 3 tháng thì tỷ lệ lành tăng lên là 97,2%. Mức độ giảm thính lực trung bình trước mổ là 40,66 ± 12,44 dB, thính lực trung bình cải thiện sau 3 tháng còn 27,62 ± 9,17 dB. Kết luận: 97,2% bệnh nhân có triệu chứng chảy dịch tai trong tiền sử. Tỷ lệ lành màng nhĩ sau 1 tháng là 94,4% và sau 3 tháng thì tỷ lệ lành tăng lên là 97,2%. Sau 3 tháng phẫu thuật vá nhĩ đơn thuần thì thính lực trung bình cải thiện từ 40,66dB ± 12,44 còn 27,62 ± 9,17 dB.

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