咽鼓管球囊扩张术在咽鼓管功能障碍治疗中的应用价值分析  

Value analysis of eustachian tube balloon dilatation in the treatment of eustachian tube dysfunction

作　　者：吕艳慧 杨秀海[2] 赵睿[2] 梁秋林[2] 冯超[2] 曹长兴[1] 周奇 

机构地区：[1]贵州医科大学耳鼻咽喉科,贵州贵阳550025 [2]贵州省人民医院耳鼻咽喉头颈外科,贵州贵阳550002

出　　处：《中国医药科学》2017年第18期238-240,共3页China Medicine And Pharmacy

摘　　要：目的探讨咽鼓管球囊扩张术在咽鼓管功能障碍治疗中的应用价值。方法选取我院贵州省人民医院耳鼻咽喉头颈外科收治的78例(100耳)咽鼓管功能障碍患者进行研究,所有患者均行咽鼓管球囊扩张术治疗,分析其治疗效果。结果本组患者治疗前及治疗后1周比较耳闷塞感、听物朦胧感VAS评分均存在明显差异(P<0.05);治疗后6个月与治疗前比较耳闷塞感、听物朦胧感、耳内水泡声等主观症状的VAS评分,均存在明显差异(P<0.05);术前及术后6个月比较咽鼓管测压(TMM)出现正常R值的比率存在统计学意义(P<0.05)。本组患者治疗总有效率为96.0%。结论对咽鼓管功能障碍患者实施咽鼓管球囊扩张术治疗效果显著,有利于改善耳闷塞感、听物朦胧感等主观症状,具有临床推广价值。Objective To investigate the clinical value of eustachian tube balloon dilatation in the treatment of eustachian tube dysfunction. Methods 78 patients（100 ears） with eustachian tube dysfunction were selected from Department of Otorhinolaryngology Head and neck surgery in Guizhou People＇ s Hospital. All patients were treated with balloon dilation of eustachian tube. The therapeutic effect was analyzed. Results There were significant differences in ear sensation, auditory sensation and VAS score before and 1 weeks after treatment（P〈 0.05）. Compared with 6 months after treatment, the VAS scores of subjective symptoms such as the sensation of stuffy ears, the hazy sensation of hearing and the vesicular sound in the ear were significantly different（P〈0.05）. Compared with postoperative 6 months, the normal R value of eustachian tube manometry（TMM） showed statistical significance （P 〈 0.05）. The total effective rate was 96.0%. Conclusion The effect of balloon dilation of eustachian tube on eustachian tube dysfunction is significant, which is helpful to improve the subjective symptoms such as the feeling of stuffy ears and the hazy sensation of hearing. It has the value of clinical promotion.

关 键 词：咽鼓管球囊扩张术 咽鼓管功能障碍 耳闷塞感 咽鼓管测压 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]