咽鼓管置管术在各种鼓室成形术中的应用  

Appraisement of the operative therapeutical effects of salpingocatheterism for refractory otitis media

作　　者：张官萍[1] 吕剑霆[1] 李仲汉[1] 蔡克文[1] 

机构地区：[1]中山医科大学第三临床学院耳鼻咽喉科,广州510630

出　　处：《临床耳鼻咽喉科杂志》2001年第1期15-16,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨咽鼓管置管术在各种鼓室成形术中的应用及疗效。方法 :对按不同方式进行听骨链重建、鼓室成形术的 71耳患者术中同时行咽鼓管置管术。结果 :除 5例继发鼓膜穿孔、术后流脓外 ,余均一次手术成功 ,未见再穿孔。手术失败与不同病种、不同术式间的差异无显著性意义。结论 :咽鼓管置管术对防止咽鼓管再粘连有效。Objective:The therapeutical effects of salpingocatheterism and the states of tubal function were studied after different middle ear operations and within different middle ear pathological changes.Method:Total 71 patients with tubal occlusion, 18 of myringoplasty, 20 of reconstruction of ossicolar chain followed tympanoplasty, 14 of combined approach tympanoplasty, 10 of radical mastoidectomy followed tympanoplasty, 9 of re radical mastoidectomy followed tympanoplasty were implemented salpingocatheterism. The patients were followed up for evaluation of the postoperative therapeutical effects and the state of tubal function. Result:The causes of operation failure in different middle ear operations or different middle ear pathological changes had no significantly difference. The major cause for postoperative tympanic membrane perforation and tubal occlusion was the pathogenic damage being not cleared up thoroughly and/or there being nasal cavity or pharyngeal cavity pathogenic changes accompanied.Conclusion:Salpingocatheterism is effective for preventing eustachian tube postoperative adhesion.

关 键 词：咽鼓管置管术 中耳炎 鼓室成形术 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R764.92[医药卫生—临床医学]