局麻下咽鼓管球囊扩张术加鼓膜置管术治疗顽固性分泌性中耳炎  

Under local anesthesia the Eustachian tube balloon dilatation with tympanostomy tube surgery in the treatment of refractory secretory otitis media

作　　者：关兵[1] 王莹[1] 徐丽[1] 曹武[1] 戴炳译 

机构地区：[1]扬州大学医学院附属医院,江苏省苏北人民医院耳鼻咽喉科,江苏扬州225001

出　　处：《中国耳鼻咽喉头颈外科》2016年第11期645-646,共2页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨局麻下咽鼓管球囊扩张术加鼓膜置管术治疗顽固性分泌性中耳炎的临床疗效。方法收集顽固性分泌性中耳炎患者20例(24耳),于门诊局麻下,结合鼻内镜经鼻腔径路行咽鼓管咽口球囊扩张,并行鼓膜置管。所有患者均于术后3个月拔出T型管。结果术后随访6个月,18例患者耳闷塞感、听物朦胧感症状明显减轻,未再出现鼓室内积液。2例术后仍有耳内闷胀及听力下降,耳内镜检查示鼓室积液未吸收,再次置入T型通气管后症状改善。结论局麻下行咽鼓管球囊扩张术加鼓膜置管术治疗顽固性分泌性中耳炎疗效显著,对于改善咽鼓管功能方法安全可行,并发症极小,是一种微创的新方法。OBJECTIVE To study the curative effect of eustachian tube balloon dilatation surgery combined with T tympanostomy tube surgery under local anesthesia for treatment of refractory secretory otitis media.METHODS 20 cases of intractable secretory otitis media（24 ears） were collected and eustachian tube balloon dilatation surgery was conducted with nasal endoscope and T tympanostomy tube was inserted at the same time.The tube was pulled out at three months after operation in all patients.RESULTS The patients were followed up for6 months,and 18 cases had a significant reduction in the sense of ear fullness and auditory sensation,and there was no effusion.2 cases still have stuffy ear and hearing loss,ear endoscopy showed that middle ear effusion was not absorbed.Their symptoms improved after tympanostomy tube reinserted.CONCLUSION Eustachian tube balloon dilation combined with tympanostomy tube insertion under local anesthesia is effective in the treatment of intractable secretory otitis media.It is safe and feasible for improving function of Eustachian tube,with minimal complications as a new minimally invasive method.

关 键 词：中耳炎 伴渗出液 内窥镜检查 咽鼓管 咽鼓管球囊扩张术 置管 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]