分泌性中耳炎合并鼻-鼻窦炎的临床研究  

Clinical study of secretory otitis media complicated by rhinosinusitife

作　　者：牟珊[1] 张勤修[1] 周立[1] 谢慧[1] 

机构地区：[1]成都中医药大学附属医院耳鼻咽喉科,四川成都610072

出　　处：《四川医学》2011年第7期973-975,共3页Sichuan Medical Journal

基　　金：国家十一五科技支撑计划(编号:2007BAI20B036)

摘　　要：目的探讨分泌性中耳炎合并鼻-鼻窦炎的临床特征、诊断要点及手术治疗方法。方法利用耳内镜、纯音测听、声阻抗及鼻内镜、鼻窦CT,对耳闷、听力下降3个月以上的分泌性中耳炎患者进行检查,确诊为分泌性中耳炎合并鼻-鼻窦炎42例(65耳),并对所有患者进行了手术及药物治疗,分析其疗效。结果除1例(2耳)患者不明原因反复发作分泌性中耳炎外,其余所有患者耳闷、听力下降等症状均有改善,声阻抗、纯音听力测试结果基本恢复正常。结论鼻-鼻窦炎与分泌性中耳炎发病有密切相关性,因此治疗分泌性中耳炎时应关注、评估鼻-鼻窦炎,以防漏诊与分泌性中耳炎共同存在的鼻部病灶,导致分泌性中耳炎迁延不愈。Objective To investigate the clinical features,diagnosis and surgical treatment of the secretory otitis media complicated by rhinosinusitis.Methods Ear endoscopy,pure tone audiometry,acoustic impedance and nasal endoscopy,sinus CT were used to examine fullness,hearing loss,more than 3 months in patients with secretory otitis media.42 cases（65 ears） were diagnosed as secretory otitis media complicated by rhinosinusitis.Surgical and drug treatment were performed on all cases and the effects were analyzed.Results Apart from 1 patient（2 ears） with unknown cause recurrent secretory otitis media,the symptom such as ear fullness,hearing loss of the rest patients were improved.The results of acoustic impedance and pure tone audiometry were basically back to normal.Conclusion Rhinosinusitis were related to secretory otitis media closely.For this reason,we should keep a watchful eye on rhinosinusitis and estimate it when we treat secretory otitis media to prevent misdiagnosis of nose focus complicated by secretory otitis media,resulting in delayed healing of secretory otitis media.

关 键 词：分泌性中耳炎 鼻-鼻窦炎 耳-鼻内镜 纯音测听 声阻抗 手术治疗 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R765.2[医药卫生—临床医学]