摘要
目的探讨鼻内镜下行咽鼓管置管药物冲洗治疗分泌性中耳炎的疗效。方法在30°鼻内镜下，将硬膜外导管经咽鼓管咽口置入鼓室药物冲洗治疗分泌性中耳炎50例（50耳）。结果50例随访6～24个月，平均12．6月，治愈26例（52％），好转19例（38％），无效5例（10％），总有效率90％。结论鼻内镜下行咽鼓管置管药物冲洗治疗分泌性中耳炎操作简单，不破坏鼓膜结构，安全，病人无痛苦，效果好，是改善分泌性中耳炎患者咽鼓功能，提高其听力的有效治疗方法。
Objective To investigate the curative effect of tube placement and drug irrigation in the auditory tube under nasoscope in the treatment of secretory otitis media （SOM）. Methods Under the visualization of a 30° nasoscope, an epidural guiding tube was placed through the pharyngeal opening of the auditory tube into the tympanic cavity for drug irrigation in 50 cases of secretory otitis media （50 ears）. Results Follow-up observations for 6～24 months showed 26 cases of cure （52%）, 19 cases of improvement （38%）, and 5 cases of no effect （10%）, the total effective rate being 90%. Conclusions This procedure has advantages of simplicity of performance, unaffected drum membrane, high safety, no pain, and satisfactory outcomes, being an effective treatment option for improving the function of the auditory tube and hearing ability in patients with secretory otitis media.
出处
《中国微创外科杂志》
CSCD
2006年第10期791-792,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
鼻内镜
分泌性中耳炎
咽鼓管
置管留管
药物冲洗
Nasoscope
Secretory otitis media
Auditory tube
Tube placement and indwelling
Drug irrigation
