咽鼓管功能对行Ⅰ型鼓室成形术的慢性中耳炎患者短期听力影响分析  

Short-term impact of Eustachian tube function on hearing in chronicsuppurative otitis media patients undergoing type I tympanoplasty

作　　者：延升 李陈 张瑾[2] 李世东[2] 刘晖[2] 张文[2] YAN Sheng;LI Chen;ZHANG Jin;LI Shidong;LIU Hui;ZHANG Wen(Yan’an University,Yan’an 716000,China;Department of Otorhinolaryngology Head and Neck Surgery,Shanxi Provincial People’s Hospital,Xi’an 710000,China)

机构地区：[1]延安大学,陕西延安716000 [2]陕西省人民医院耳鼻咽喉头颈外科,陕西西安710000

出　　处：《中国耳鼻咽喉颅底外科杂志》2024年第1期12-15,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：陕西省科委创新能力支撑计划项目(2022TD-51)。

摘　　要：目的 通过对耳内镜下Ⅰ型鼓室成形术治疗慢性化脓性中耳炎患者的临床资料分析,探讨咽鼓管功能对其听力影响。方法 收集诊断为慢性化脓性中耳炎患者42例,结合声导抗正负压平衡试验和咽鼓管功能障碍评分量表(ETDQ-7)将分为咽鼓管功能障碍患者作为研究组(25例),将咽鼓管功能正常患者作为对照组(17例),对比分析两组患者手术前后听力的变化。结果 研究组术前与术后气导平均听阈、骨导平均听阈均高于对照组,差异具有统计学意义(P <0.05);研究组术后气导平均听阈和骨导平均听阈的改善值均高于对照组,差异无统计学意义(P> 0.05);研究组术后4 k Hz气导听阈改善值低于对照组,差异无统计学意义(P> 0.05);研究组术后8 k Hz气导听阈改善值低于对照组,差异有统计学意义(P <0.05)。结论 良好的咽鼓管功能不会增加Ⅰ型鼓室成形术对慢性化脓性中耳炎患者平均听力的改善程度,但有利于患者术后高频听力的恢复。Objective To explore the influence of Eustachian tube function on hearing via analyzing the clinical data of patients with chronic suppurative otitis media undergoing endoscopic type I tympanoplasty.Methods A total of 42 patients with chronic suppurative otitis media were collected,and were divided into the study group(n=25)with Eustachian tube dysfunction and the control group(n=17)with normal Eustachian tube function based on the sound conduction anti-positive and negative pressure balance test and the Eustachian tube dysfunction scoring scale(ETDQ-7).The changes of hearing before and after tympanoplasty were compared between the two groups.Results The pre-and postoperative average hearing thresholds of air conduction and bone conduction in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The improvement values of average thresholds of air conduction and bone conduction in the study group were higher than those in the control group,but the differences were statistically insignificant(P>0.05).The improvement value of air conduction threshold on 4 kHz of the study group was lower than that of the control group,but the difference was statistically insignificant(P>0.05).The improvement value of air conduction threshold on 8 kHz of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Good Eustachian tube function can not increase the degree of postoperative average hearing improvement in patients with chronic suppurative otitis media,but is beneficial to the recovery of high-frequency hearing.

关 键 词：中耳炎 鼓室成形术 咽鼓管 听力 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]