咽鼓管球囊扩张术在鼻咽癌放疗后咽鼓管功能不良治疗中的临床应用  

Clinical application of balloon dilatation in the treatment of eustachian tube dysfunction after radiotherapy for nasopharyngeal carcinoma

作　　者：邓丽芳 李碧玉 吴盖珍 吴剑[2] 李军政 DENG Lifang;LI Biyu;WU Gaizhen;WU Jian;LI Junzheng(Department of Ear,Nose,Throat,Head and Neck Surgery/Ear-Nose-Throat,Dongguan Fifth People's Hospital,Guangdong,Dongguan 523000,China;Department of Ear,Nose,Throat,Head and Neck Surgery/Ear-Nose-Throat,Guangzhou Red Cross Hospital,Jinan University,Guangdong,Guangzhou 510220,China)

机构地区：[1]广东省东莞市第五人民医院耳鼻咽喉头颈外科,广东东莞523000 [2]暨南大学附属广州红十字会医院耳鼻咽喉头颈外科,广东广州510220

出　　处：《中国医药科学》2020年第22期187-189,199,共4页China Medicine And Pharmacy

基　　金：广东省东莞市社会科技发展(一般)项目(201750715025143)。

摘　　要：目的探讨咽鼓管球囊扩张术(BET)治疗鼻咽癌放疗后咽鼓管功能不良患者的临床效果。方法将2017年1月~2018年12月收治的20例鼻咽癌放疗后咽鼓管功能不良患者作为研究对象,拟行BET治疗,比较分析术前、术后1个月、3个月及6个月的咽鼓管测压(TMM)和视觉模拟评分法(VAS)评分,并观察术后并发症发生情况。结果本组患者术前与术后1、3及6个月时耳闷塞感、听物朦胧感、耳内水泡声、耳鸣的VAS评分比较,差异均有统计学意义(P<0.05);术后1、3及6个月TMM的R值恢复正常比率均高于术前,差异有统计学意义(P<0.05)。术后本组出现1例(5%)鼻黏膜粘连,未出现其他并发症。结论采用BET治疗鼻咽癌放疗后咽鼓管功能不良患者具有创伤小、恢复快、安全性高、疗效确切等特点,具有一定的临床应用价值。Objective To investigate the clinical efficacy of balloon eustachian tube dilatation in the treatment of eustachian tube dysfunction after radiotherapy for nasopharyngeal carcinoma(NPC).Methods A total of 20 patients with eustachian tube dysfunction after radiotherapy for NPC admitted from January 2017 to December 2018 were taken as the research objects and treated with balloon eustachian tube dilatation.The eustachian tube manometry(TMM)and visual analogue scale(VAS)were compared and analyzed before operation,1 month,3 months and 6 months after operation,and the incidences of postoperative complications were observed.Results The VAS scores of the stuffy ears,hazy hearing,blisters in ears and tinnitus in this group were compared before and 1 month,3 months and 6 months after operation,the differences were statistically significant(P<0.05).The rate of return to normal of TMM R value at 1 month,3 months and 6 months after operation was higher than that before operation,and the difference was statistically significant(P<0.05).There was 1 case(5%)of nasal mucosa adhesion after operation,and no other complications occurred.Conclusion Treating eustachian tube dysfunction after radiotherapy for NPC with balloon eustachian tube dilatation has the features of less trauma,quick recovery,high safety and exact therapeutic efficacy,which has certain clinical application value.

关 键 词：咽鼓管球囊扩张术 鼻咽癌 放疗 咽鼓管功能不良 

分 类 号：R739.63[医药卫生—肿瘤]