摘要
目的探讨显微镜下采用鼓膜置管术治疗慢性分泌性中耳炎的疗效,并分析其手术适应证及并发症。方法显微镜下采用鼓膜置管器械对2000年8月至2006年8月收治的45例(60耳)诊断明确且经保守治疗无效的慢性分泌性中耳炎患者行鼓膜置管术。结果术后随访6～12个月,本组60耳中,治愈40耳(66.7%),好转15耳(25.0%),无效5耳,总有效率为91.7%。术后3～6个月取管36耳,6个月后取管16耳,自动脱管5耳,3耳引流管陷入鼓室。取管或脱管后2～3周鼓膜穿孔自行愈合。术后无一耳发生感染。结论鼓膜置管术是治疗慢性分泌性中耳炎切实有效的方法,应严格掌握其手术适应证并作综合治疗。
Objective To investigate the therapeutic effect of tympanostomy tube insertion on the chronic secretory otitis media（ CSOM）, and to analyze the operative indications and complications. Methods A retrospective study was done in 45 patients （60 ears） with CSOM recruited from August 2000 to August 2006, who were treated by tympanostomy tube insertion. All patients showed no therapeutic effect after expectant treatment. Results All patients were followed up for 6 to 12 months. Among 60 ears, 40 ears（66.7% ） were cured, 15 ears（25.0% ） were improved and 5 ears showed no effect. The total effective rate was 91.7%. Tympanostomy tubes were pulled out 3 to 6 months after the operation in 36 ears, over 6 months in 16 ears, and the tubes in 5 ears ablated automatically and in 3 ears trapped in the tympanic cavity. The perforation of ear drum healed 2 to 3 weeks after the tube was pulled out or ablated. No inflammation was observed in all ears. Conclusions Tube insertion is an effective method for the therapy of CSOM. Strict comprehension for the operative indications and comprehensive treatment should be payed attention to. （Chin J Ophthalmol and Otorhinolaryngo1,2008 ,8 ：364-365 ）
出处
《中国眼耳鼻喉科杂志》
2008年第6期364-365,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词
鼓膜置管术
慢性分泌性中耳炎
显微镜
Tympanostomy tube insertion
Chronic secretory otitis media
Microscope
