鼻内窥镜下咽鼓管吹张注药对慢性分泌性中耳炎的疗效观察  

Effect of Eustacian Tube Drug Injection under Nasal Endoscopy on Paitonts with Chronic Secretory Otitis Media

作　　者：张频[1] 王依鹭[1] 赖美华[1] 

机构地区：[1]深圳市第五人民医院耳鼻喉科,深圳518001

出　　处：《微循环学杂志》2008年第4期32-33,36,共3页Chinese Journal of Microcirculation

摘　　要：目的:评价鼻内窥镜下咽鼓管吹张注药对慢性分泌性中耳炎(OMSC)的治疗效果。方法:将84例(124耳)OMSC患者随机分为二组。A组采用鼻内镜下咽鼓管吹张注药术;B组给予鼓膜穿刺抽液、鼓膜切开排液或鼓膜置管术;对随访半年的临床疗效及不良反应进行比较。结果:A组治愈36耳(58.1%),好转18耳(29.0%),无效8耳(12.9%);B组治愈20耳(32.3%),好转20耳(32.3%),无效22耳(35.4%)。并发症发生率A组为9.7%(6/62),表现为耳闷胀感或短暂眩晕,B组为32.3%(20/62),表现为中耳感染或鼓膜穿孔或耳漏。二组临床疗效及并发症发生率差异均有显著性统计学意义(P<0.05)。结论:鼻内窥镜下咽鼓管扩张注药法治疗OMSC安全、效果好,不良反应少。Objective:To investigate clinical curative effect of eustachian tube drug injection under nasal endoscopy on pationts with chronic secretory otitis media(SOM).Method:Eighty-four patients of SOM were divided into 2 groups randomly.Patients in group A were treated by dilating eustachian tube and injecting medicine under nasal endoscopy.Patients in group B were handled by puncturing drum membrane and suction or myringotomy or inserting ventilation tube.Therapeutic effects and complications were compared between 2 groups during the 6 months follow up period.Results:The number of ears which were cured,effectively treated and ineffectively treated were 36(58.1%),18(29.0%),8(12.9%)in group A and 20(32.3%),20(32.3%),22(35.4%)in group B,respectively.The complication rate was 9.7% in group A and 32.3% in group B.There were significant differences in curative effect and incidence rate of complications between 2 groups(P<0.05).Conclusion:Eustachian tube drug injection under nasal endoscopy is safe and efficient for SOM patients with fewer complications.

关 键 词：慢性分泌性中耳炎 咽鼓管吹张注药 鼻内窥镜下 疗效观察 非化脓性炎性疾病 治疗效果 听力下降 鼓室积液 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R764.210.5[医药卫生—临床医学]