中国地区球囊导管扩张术治疗咽鼓管功能障碍疗效分析  

Analysis on the curative effect of balloon dilatation in the treatment of eustachian tube dysfunction in China

作　　者：郝文玮[1] 许轶[1] 周慧芳[1] HAO Wen-wei XU Yi ZHOU Hui-fang(Department of Otorhinolaryngology, General Hospital, Tianjin Medical University, Tianjin 300052, Chin)

机构地区：[1]天津医科大学总医院耳鼻咽喉科,天津300052

出　　处：《天津医科大学学报》2017年第4期343-348,共6页Journal of Tianjin Medical University

摘　　要：目的:探讨中国人应用咽鼓管球囊导管扩张术治疗咽鼓管功能障碍的疗效及相关治疗经验。方法:对58例(84耳)咽鼓管功能障碍患者在全麻下行咽鼓管球囊导管扩张术,术后通过耳内镜检查、阻抗、Valsalva检查、TMM、ETDQ-7评分等主、客观方法评估手术效果。结果:术前患耳阻抗均为B型或C型,术后A型阻抗逐渐增多,术后12月有效率为84.5%(71/84),术后18月有效率为83.3%(70/84)。结论:球囊扩张术是治疗咽鼓管功能障碍的有效手段,具有安全、有效、无创、简便等特点。Objective： To discuss curative effect and the treatment experience of balloon dilation in the treatment of eustachian tube dysfunction in China. Methods： Fifty-eight patients （84 ears）with dysfunction of the eustachian tube were treated by balloon catheter dilation of eustachian tube under general anesthesia and postoperative effects were assessed through ear endoscopy, impedance, Valsalva checks, TMM, ETDQ-7 score and other subjective and objective methods . Results： Before operation, all the patients’ ears had B type or C type impedance, After operation, A type impedance increased gradually. Twelve months effective rate after surgery was 84.5% （71/84）, and the effective rate of 18 months was 83.3% （70/84）. Conclusion： Balloon dilation is an effective（加上, safe and noninvasive） therapy for eustachian tube dysfunction.

关 键 词：咽鼓管 功能障碍 球囊扩张术 疗效 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]