摘要
目的探讨治疗鼻咽癌并发分泌性中耳炎的治疗方法。方法将56例鼻咽癌放疗后并发分泌性中耳炎患者随机分为A、B两组。每组各28例。A组鼓膜切开鼓室置管;B组行鼻腔鼻咽部清理加鼓膜穿刺抽液、鼓室给药盐酸氨溴索加微波照射。比较分析两组治疗效果及并发症。结果随访半年,56例中存活47例,存活患者中分泌性中耳炎治疗有效率A组53.8%,B组80.8%,差异有统计学意义(P<0.05)。并发症发生率A组30.8%,B组7.7%,差异有统计学意义(P<0.05)。结论对鼻咽癌放疗后并发的分泌性中耳炎治疗,鼻腔鼻咽清理加鼓膜穿刺抽液、鼓室给药盐酸氨溴索加微波照射优于单纯鼓膜切开鼓室置管引流。
Objective To investigate the treatment of secretory otitis media（SOM） in nasopharyngeal carcinoma（NPC） patients. Methods Fifty-six NPC patients with SOM after radiotherapy were divided into two groups at random. The patients were treated by myringotomy or ventilationt tube insertion in group A,while the patients were treated by nasal and nasopharyngeal debridement,tympanic membrane puncturing suction combined with tympanic injection of ambroxol solution and microwave shining in group B. The patients were followed up for 6 months. The two groups were compared by the therapeutic effect and complications. Results After a 6-month follow-up, 47 patients survived with effective rates of 53.8% and 80.8% and with complication rates of 30.8% and 7.7% in group A and B,respectively,and the differences of effective rate and complication rate between the two groups were statistically significant（P 〈 0.05 ）. Conclusion For SOM in NPC patiens after radiotherapy, the effect of combined therapy of nasal and nasopharyngerl debridement, tympanic membrane puncture and suction, tympanic injection of ambroxol solution, as well as microwave shining is superior to that of tube insersion.
出处
《中国现代医生》
2009年第21期55-56,共2页
China Modern Doctor
关键词
鼻咽癌
分泌性中耳炎
放疗
Nasopharyngeal carcinoma
Secretory otitis media
Radiotherapy
