鼓膜修补术联合咽鼓管球囊扩张治疗鼓膜穿孔的疗效观察  

Evaluation of the effect of Myringoplasty with Eustachian tube balloon dilatation in the treatment of tympanic membrane perforation

作　　者：朱文燕[1] 马永驰[1] 金新[1] 皮文[1] 吕凌云[1] 

机构地区：[1]南京医科大学附属淮安第一医院耳鼻咽喉科,江苏淮安223300

出　　处：《中国中西医结合耳鼻咽喉科杂志》2017年第4期247-249,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨鼓膜修补联合咽鼓管球囊扩张治疗鼓膜穿孔的临床疗效。方法收集咽鼓管功能障碍的鼓膜穿孔患者22例(22耳),均在全麻下行鼓膜修补和咽鼓管球囊扩张术。结果术后随访6个月,一例因中耳腔感染中断随诊。其余21例患者鼓膜穿孔均愈合,鼓室图均显示为A型,21例患者术前平均气导听阈为(52.4±17.7)d BHL,平均气骨导差(27.4±11.2)d BHL。术后6个月平均气导听阈(30.9±10.5)d BHL,平均气骨导差为(16.3±12.0)d BHL。差异有统计学意义(P<0.05)。结论咽鼓管球囊扩张可改善咽鼓管功能,鼓膜修补联合咽鼓管球囊扩张可用来治疗咽鼓管功能障碍的鼓膜穿孔。Objective To investigate the clinical curative effect of with eustachian tube balloon dilatation for the treatment of tympanic membrane perforation. Methods 22 cases patients （22 ears）with tympanic membrane perforation and eustachian tube balloon dilatation, both tympanic membrane repair and eustachian tube balloon dilatation were conducted in general anesthesia. Results the patients were followed up for 6 months, only one patient interrupt follow-up because of the middle ear cavity infection. Tympanic membrane perforation of 21 patients were healing, with type A tympanograms,the average air conduction threshold of 21 patients is （52.4±17.7）dBHL, the average air-bone gap is （27.4±11.2）dBHL. After 6 months the average air conduction threshold is （30.9±10.5）dBHL, and the average air-bone gap is（16.3±12.0）dBHL. The difference was statistically significant （P〈0.05）. Conclusion eustachian tube balloon dilatation can improve the function of eustachian tube, tympanic membrane repair joint eustachian tube balloon dilatation can be used to treat eustachian tube dysfunction of tympanic membrane perforation.

关 键 词：鼓膜穿孔 鼓膜修补 咽鼓管球囊扩张 咽鼓管功能障碍 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]