摘要
目的 :观察内窥镜下鼻腔鼻窦手术对咽鼓管功能的影响。方法 :运用MedsenZO 174声导抗仪对 10例鼻窦鼻甲手术患者 (鼻窦鼻甲组 )及 10例鼻中隔矫正术患者 (鼻中隔组 ) ,手术前及术后 1、3、5、10d的鼓室压、声顺、坡度等进行自动检测 ,观察其变化。结果 :术后 1、3d ,鼻窦鼻甲组鼓室压由术前 - 85 .5daPa分别降至- 14 8.0daPa及 - 139.0daPa ,分别与术前比较 ,其差异均有极显著性意义 (P <0 .0 1) ;鼻中隔组鼓室压由术前- 5 1.0daPa分别降至 - 111.5daPa及 - 96 .0daPa ,分别与术前比较 ,其差异亦有极显著性意义 (P <0 .0 1)。术后 5、10d两组鼓室压逐渐恢复至术前水平。手术前、后两组声顺、坡度无明显变化 (P >0 .0 5 )。术后 1、3d两组鼓室峰压点明显左移 ,术后 5、10d逐渐恢复至术前水平。结论 :鼻窦鼻甲手术和鼻中隔矫正术的术后早期均能引起咽鼓管阻塞 ,术后积极抗感染 ,正确、及时、定期清理术侧鼻腔 ,及早解除鼻腔压力 。
Objective:To observe the effects of endoscopic nasal surgery on the function of eustachian tube.Method: The tympanometric pressure,static compliance and gradient of tympanogram were measured for sinuses and turbinate group (10 cases) and nasal septum group (10 cases) at 1,3,5 and 10 days after operation by using audiometer acoustic impedance.Result:The peak pressure of tympanogram of two groups were droped obviously 1～3 days after operation.In sinuses and turbinate group,it droped from - 85.5 dapa to - 148.0 dapa (at 1 day) and - 139.0 dapa at 3 days,compared to the pre operation,the differences were significantly (P< 0.01 ).In nasal septum group,it droped from - 51.0 dapa to - 111.5 dapa at 1 day and - 96.0 dapa at 3 days,compared to the pre operation, the differences were also significantly (P< 0.01 ). The level of static compliance,gradient were no significantly difference between before and after operation (P> 0.05 ).Conclusion:The eustachian tube of patients of two groups were blocked at the early stage of post operation.The treatment of active anti infection,promptly cleaning of nasal cavity,relexing the pressure of nasal cavity as soon as possible, all of this can reduce the effect of operation on the function of eustachian tube.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2002年第5期208-209,共2页
Journal of Clinical Otorhinolaryngology
