慢性鼻窦炎对中耳功能的影响  

Influence of chronic sinusitis on middle ear function

作　　者：黄雪琨[1] 詹益斯[1] 许庚[1] 王树芳[1] 

机构地区：[1]中山医科大学附属第三医院耳鼻咽喉科,广州510630

出　　处：《临床耳鼻咽喉科杂志》2000年第4期166-167,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :研究慢性鼻窦炎的病变范围、病程长短对中耳功能的影响。方法 :利用纯音测听及声阻抗检测5 6例慢性鼻窦炎患者的纯音听力、鼓室导抗图和咽鼓管功能。结果 :慢性鼻窦炎患者咽鼓管功能异常 48.3% ,鼓室导抗图异常 42 .0 % ,气导听阈提高 33.9% ;前组鼻窦炎和全鼻窦炎中耳功能比较有极显著性差异 ( P<0 .0 1) ,病程 >5年和≤ 5年比较 ,有极显著性差异 ( P <0 .0 1)。结论 :慢性鼻窦炎对中耳功能的影响 ,随着病变范围的扩大。Objective:To study the effection of range size and duration of chronic sinusitis on middle ear function.Method:Eustachian tube function, tympanogram and air hearing threshold were measured with an acoustic immitance audiometer and pure tone audiometer in 56 patients (112 ears). Result:Eustachian tube function was disturbed in 48.3 % cases, tympanogram was abnormal in 42.0 % cases, and air hearing threshold was increased in 33.9 % cases. Comparison of middle ear function between anterior sinusitis and pan sinusitis showed significant difference (P< 0.01 ), middle ear function between the course of less 5 years and of more than 5 years had significant difference (P< 0.05 ).Conclusion:The damage of middle ear function become more serious with the extent of lesion and with the longer course of disease in paranasal sinuses.

关 键 词：鼻窦炎 咽鼓管 中耳功能 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]