分泌性中耳炎咽鼓管三维重建的研究  

Eustachian Tube Three-dimensional Reconstruction of Secretory Otitis Media

作　　者：于亚峰[1] 周维镕[2] 包雪平[3] 李敏[3] 胡振民[3] 

机构地区：[1]苏州大学附属第一医院耳鼻咽喉科,江苏苏州215006 [2]南通大学附属医院耳鼻咽喉科,江苏南通226001 [3]南通大学附属医院影像科,江苏南通226001

出　　处：《苏州大学学报（医学版）》2006年第2期286-288,共3页Suzhou University Journal of Medical Science

摘　　要：目的通过咽鼓管三维重建来探讨咽鼓管与分泌性中耳炎的关系,探索分泌性中耳炎的病因。方法随机选取分泌性中耳炎患者30例(男19例,女11例),对每例患者均进行耳镜检查和听力检查。对所有患者在捏鼻鼓气(Valsalva法)时行双侧咽鼓管螺旋CT扫描,对获得的图像进行三维重建。结果绝大部分患者咽鼓管通气正常,未发现器质性疾病,只有少数患者(4例)发现了器质性疾病。结论咽鼓管三维重建能够揭示一些不明原因分泌性中耳炎的病因,有助于分泌性中耳炎的诊断与治疗。Obejective To study relationship between Eustachian tube and secretory otitis media and to explore the pathogeny of secretory otitis by three-dimensional reconstruction of Eustachian tube. Methods Thirty cases of secretory otitis media （male 19、 female 11） were selected randomly,Everyone was checked by otoscope and audiometry. Their bilateral Eustachian tubes were scanning by helix CT while making Valsalva＇s action. All images were passed on to work station to make three-dimensional reconstruction. Results Four patients were found have Eustachian tube diseases, while most of patients＇ Eustachian tubes ventilated normally. Conclusions Three-dimensional reconstruction of Eustachian tube can open out some pathogens of some secretory otitis medias. It will be helpful to diagnosis and therapy of secretory otitis media.

关 键 词：咽鼓管 三维重建 计算机体层摄影术 分泌性中耳炎 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R814.42[医药卫生—临床医学]