摘要
目的:探讨咽鼓管置管治疗鼻咽癌(NPC)放疗后分泌性中耳炎(SOM)的价值。方法:分析鼻内窥镜下经咽鼓管置管治疗106例(112耳)NPC放疗后SOM的疗效。结果:患者接受治疗后,耳鸣消失81耳(72.32%),好转25耳(22.32%),无效6耳(5.36%),总有效率94.64%。耳闷塞感消失92耳(82.14%),好转18耳(16.07%),无效2耳(1.79%),总有效率98.21%。无1例发生耳漏。声阻抗检查:鼓室曲线A型56耳(50.00%),As型42耳(37.50%),B型2耳(1.79%),C型12耳(10.71%)。治疗前后0.5、1.02、.0 kHz气导听阈均值分别为(47.0±5.0)dBHL和(28.5±3.0)dBHL,两者具有统计学差异(P<0.001)。结论:咽鼓管置管治疗NPC放疗后SOM,对咽鼓管具有一定的支撑作用,能有效地避免耳漏。
Objective： To estimate the value of salpingocatheterism to treat secretory otitis media （SOM） in patients with nasopharyngeal carcinoma （NPC） after radiotherapy. Methods： The curative effects were analyzed in 106 SOM patients （112 ears） with NPC after radiotherapy by using salpingocatheterism under nasal endoscopic visualization and tympanal retention catheter and intratympanic apphcation of medicine through the eustachian tube. Results： All patients had hearing impairment , tinnitus and blocked feeling, and acoustic immittance test showed that 112 （100%） ears had ＂Type B＂ tympanogram. For tinnitus treatment , complete response was found in 81 ears （72.32%）, partial respouse in 25 （22.32%）, and no response in 6（5.36%）. For blocked feeling, the result was 92（82. 14%）, 18（16.07% ）, and 2（1.79% ） respectively. The total response rate for the above two symptoms was 94.64% and 98. 21% respectively. There was no otorrhea. The acoustic immittance test showed ＂Type A＂, ＂Type As＂, ＂Type B＂ and ＂Type C＂ tympanogran were in 56 ears（50%）, 42 （37.50%）, 2 （1.79%） and 12 （10.71%）, respectively. The mean of 0.SkHz, 1 kHz, 2 kHz of pure-tone hearing thresholds was （28.5 ± 3.0）dBHL, but before treatment it was （47.0 ± 5.0）dBHL. Conclusion： The salpingocatheterism is very effective and practicable to treat SOM in patients with NPC after radiotherapy by supporting and enlarging the eustachian tube.
出处
《山东大学耳鼻喉眼学报》
CAS
2006年第4期304-306,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
咽鼓管置管法
中耳炎
伴渗出液
鼻咽肿瘤
放射治疗
Salpingocatheterism
Otifis media with effusion
Nasopharyngeal neoplasms
Radiotherapy
