综合治疗鼻咽癌放疗后并发分泌性中耳炎的体会  

Experience on comprehensive treatment for nasopharyngeal carcinoma after radiotherapy complicated with secretory otitis media

作　　者：邹苑斌[1] 黄健男[1] 郑明奋[1] 刘庆好[1] 刘玲中[1] 

机构地区：[1]广东省第二人民医院耳鼻咽喉-头颈外科,广东广州510317

出　　处：《中国医药导报》2009年第36期163-164,共2页China Medical Herald

基　　金：广东省建设中医药强省科研立项资助课题(2009123)

摘　　要：目的:探索鼻咽癌患者放射治疗后并发分泌性中耳炎的综合治疗疗效。方法:对32例(38耳)鼻咽癌患者行放射治疗后并发分泌性中耳炎的患者进行综合治疗并给予回顾分析。结果:38耳分泌性中耳炎中,治愈26耳,治愈率达68.42%(26/38);未愈12耳,未愈率为31.57%(12/38)。未愈的12耳中有7耳并发急性化脓性中耳炎,经抗感染对症治疗4耳鼓膜内陷愈合,听力呈轻度传导性聋,3耳鼓膜干性穿孔鼓室黏膜增厚,听力呈混合性聋;3例5耳经穿刺及鼓室置管听力呈重度感音性聋。结论:对放射损伤的分泌性中耳炎患者早期应以药物及鼓膜穿刺抽液治疗为主,后期以鼓室置管术为优,可预防听力丧失。Objective：To explore the efficacy of comprehensive treatment for nasopharyngeal carcinoma after radiotherapy complicated with secretory otitis media. Methods：32 patients of nasopharyngeal carcinoma after radiotherapy complicated with secretory otitis media,which there were 38 ears in total,were given the comprehensive treatment and retrospective analysis. Results：In the 38 ears of secretory otitis media,26 ears were cured,the cured rate was 68.42%（26/38）. 12 ears were uncured,the uncured rate was 31.57% （12/38）. 7 ears complicated with acute suppurative otitis media in the 12 uncured ears,4 ears had been healing with otopiesis and slight conductive deafness,3 ears had been dry perforation,the thickening mucosa of tympanic cavity and mixed deafness,by the effect of anti-inflammatory treatment. Sensorineural deafness in 3 cases 5 ears,in despite of auripuncture and tympanotomy tube insertion had been done. Conclusion：The prevention of hearing loss in patients of secretory otitis media cause by radiation injury,should mainly given the drug treatment and tympanocentesis in early period,and better given the tympanotomy tube insertion in later period.

关 键 词：分泌性中耳炎 综合治疗 鼻咽癌 放疗 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R739.63[医药卫生—临床医学]