成人分泌性中耳炎鼓膜置管的远期疗效  

Long-term curative effect of ventilation tube insertion for otitis media with effusion in adult patients

作　　者：江刚[1] 刘永红[1] 

机构地区：[1]第一军医大学珠江医院耳鼻咽喉科,广东广州51282

出　　处：《第一军医大学学报》2004年第1期105-107,共3页Journal of First Military Medical University

摘　　要：目的 探讨成人分泌性中耳炎(cpfitis media with effusion，OME)鼓膜置管后的远期疗效及其相关影响因素。方法 回顾分析153例非肿瘤因素所致的OME患者接受鼓膜置管术且随访12～18个月的病历资料。结果 153例中，81例以前曾接受过1次以上的置管术。术后随防12～18个月，89例的通气管己排出，其中55例OME复发。通气管排出后OME的复发与鼻腔和咽鼓管口病变显著相关。结论 成年OME患者存在的潜在病变是通气管排出后导致OME复发的主要原因。因此，鼓膜置管的同时寻找并治疗潜在病变才有可能取得更好的远期效果。Objective To examine the long-term effect of ventilation tube inse rt ion in treating patients with non-tumor adult-on-set otitis media with effusion (OME). Methods During the period from 1999 to 2001, a total of 153 adult patient s received ventilation tube insertion for OME and were followed up for 12-18 mo nths postoperatively. A retrospective analysis of these cases was conducted. Re sults Out of the 153 patients, 81 had received at least one previous operation o f ventilation tube in-sertion. During 12-18 months following the operation, the ventilation tubes were extruded in 89 patients, among whom 55 had OME recurrenc e. The recurrence of OME following ventilation tube extrusion was significantly correlated to the pathological changes in the nose or nasopharynx of the patien ts. Conclusion The underlying pathological changes may lead to recurrence of ad ult-onset OME following extrusion of the ventilation tube, therefore, better lon g-term outcome may be expected only after i-dentifying the underlying pathologic al changes and giving them appropriate treatment in addition to ventilation tube insertion.

关 键 词：成人 分泌性中耳炎 鼓膜置管 远期疗效 影响因素 

分 类 号：R764[医药卫生—耳鼻咽喉科]