漂浮导管扩张咽鼓管治疗放疗后分泌性中耳炎  

Application of floating tube in dilation of eustachian tube under nasal endoscopy to treat post-irradiation secretory otitis media

作　　者：李杰恩[1] 唐安洲[1] 徐志文[1] 陈平[1] 毛荣清[1] 

机构地区：[1]广西医科大学第一附属医院耳鼻咽喉科,南宁530021

出　　处：《临床耳鼻咽喉科杂志》2004年第1期21-22,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :了解鼻咽癌 (NPC)放疗后分泌性中耳炎 (SOM)咽鼓管功能 ,以及漂浮导管扩张咽鼓管治疗该病的临床价值。方法 :使用咽鼓管功能综合检查仪检测 2 1例 (37耳 )NPC放疗后SOM患者的咽鼓管功能 ;在鼻内镜直视下将漂浮导管导入咽鼓管内扩张咽鼓管 ,治疗NPC放疗后咽鼓管阻塞引起的SOM。结果 :2 1例NPC放疗后SOM中 ,咽鼓管功能为正常型 2耳 ,阻塞型 2 1耳 ,闭锁不全型 8耳 ,开放型 6耳。漂浮导管扩张咽鼓管治疗NPC放疗后SOM ,有效率为 4 3.2 % (16 / 37)。结论 :NPC放疗后SOM的咽鼓管功能障碍 ,多以阻塞型为主 。Objective:To analyse the function of eustachian tube in post-irradiation secretory otitis media and investigate the curative effect of dilating eustachian tube with Swan-Gans thermodilution catheter for treating post-irradiation secretory otitis media in NPC patients.Method:Twenty-one(37 ears) post-irradiation secretory otitis media patients with NPC were selected in this study,by using eustachian tube function synthetic inspection facility(JK-04A model), the eustachian tube function was examined, and the obstructive eustachian tube was dilated with Swan-Gans thermodilution catheter under nasal endoscopy.Result:The eustachian tube function in 37 ears with post-irradiation secretory otitis media reveals normal, obstructive, insufficiency and opening model was 2,21,8, and 6 respectively. The total curative effect of dilating eustachian tube with Swan-Gans thermodilution catheter to treat post-irradiation secretory otitis was 43.2%(16/37).Conclusion:The eustachian tube function in post-irradiation secretory otitis media mainly reveals obstructive disturbance.The application of Swan-Gans thermodilution catheter in dilation of obstructive eustachian tube under nasal endoscopy will increase the curability of post-irradiation secretory otitis media.

关 键 词：中耳炎 伴渗出液 咽鼓管 扩张术 鼻咽肿瘤 辐射损伤 

分 类 号：R739.6[医药卫生—肿瘤]