耳内镜下慢性肉芽性鼓膜炎的诊治分析  

Analysis of diagnosis and treatment of chronic granular myringitis

作　　者：钟冠忠 ZHONG Guanzhong(Department of Otolaryngology Head and Neck surgery,Xingtan Hospital Affiliated to Shunde Hospital,Southern Medical University,Foshan 528325,China)

机构地区：[1]南方医科大学顺德医院附属杏坛医院耳鼻咽喉头颈外科,广东佛山528325

出　　处：《中国耳鼻咽喉颅底外科杂志》2022年第1期106-108,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨慢性肉芽性鼓膜炎的诊治方法及误诊原因,以期提高该类疾病的诊治率。方法回顾性分析2017年10月—2020年10月南方医科大学顺德医院附属杏坛医院诊治的慢性肉芽性鼓膜炎6例患者的临床资料。全部患者均采用耳内镜下聚维酮碘消毒液耳浴治疗。结果6例慢性肉芽性鼓膜炎患者经聚维酮碘消毒液治疗后5例治愈,1例经手术治愈,随访3~6个月,无1例复发。结论慢性肉芽性鼓膜炎根据患者的病史、临床表现及专科体查可诊断,耳内镜的使用可提高诊断的准确率,对本病认识不够和检查不仔细是误诊原因,对于肉芽组织较小的患者使用聚维酮碘消毒液耳浴治疗效果显著,肉芽组织较大的患者则需要手术治疗。Objective To explore the diagnosis and treatment of chronic granular myringitis and the causes of misdiagnosis in order to improve the diagnosis and treatment rate of this kind of patients.Methods It was retrospectively analyzed for the clinical data of 6 patients with chronic granular myringitis treated in Xingtan Hospital Affiliated to Shunde Hospital,Southern Medical University from October 2017 to October 2020.All patients were treated with povidone iodine disinfectant ear bath under otoscope.Results Six patients with granulation tissue were cured after treatment with povidone iodine disinfectant in 5 cases,and one patient needed surgical treatment.Follow-up for 3 months to 6 months showed no recurrence.Conclusions Chronic granular myringitis can be diagnosed according to the patient’s history,clinical manifestations and specialist physical examination.The use of otoscopy can improve the accuracy of diagnosis.Insufficient understanding of the disease and careless examination are the causes of misdiagnosis.For patients with small granulation tissue,the use of povidone iodine disinfectant ear bath has a significant therapeutic effect,while patients with large granulation tissue need surgical treatment.

关 键 词：耳内镜 慢性肉芽性鼓膜炎 肉芽组织 聚维碘酮消毒液 

分 类 号：R764.29[医药卫生—耳鼻咽喉科]