咽鼓管球囊扩张术治疗慢性复发性分泌性中耳炎

发布时间：2018-03-06 01:09

本文选题：咽鼓管球囊扩张　切入点：慢性复发性分泌性中耳炎　出处：《中华耳科学杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨咽鼓管球囊扩张术治疗慢性复发性分泌性中耳炎的临床疗效。方法前瞻性自身病例对照研究,选择从2014年8月至2015年4月住院的11例(13耳)慢性复发性分泌性中耳炎患者,全麻下施行咽鼓管球囊扩张术+鼓膜切开置管术,术后随访12月,以患者的咽鼓管功能评分作为评价指标,分别记录和比较术前、术后1月、6月和12月时的咽鼓管功能评分,并在术后12月复诊时进行满意度问卷调查。结果术后1月时全部患者患耳症状均明显改善,咽鼓管功能评分增加,有效率为100%;术后6月,全部患者症状基本消失,咽鼓管功能评分显著增加,有效率为100%;术后12月,2耳症状复发,其咽鼓管功能评分比术后6月时明显下降,但仍高于术前,其余10耳症状改善明显,咽鼓管功能评分比术前明显提高,有效率为84.6%。术后12月时的满意度问卷调查结果表明84.6%患者对治疗过程满意。结论慢性复发性分泌性中耳炎患者施行咽鼓管球囊扩张术+鼓膜切开置管术,术后大部分患者的症状明显改善,其咽鼓管功能评分显著提高。其近期和中期疗效均显著,总体治疗满意度高。
[Abstract]:Objective to investigate the clinical efficacy of eustachian tube balloon dilatation in the treatment of chronic recurrent secretory otitis media. From August 2014 to April 2015, 11 patients with chronic secretory otitis media were enrolled in this study. Patients with chronic secretory otitis media were treated with eustachian tube balloon dilatation under general anesthesia. The eustachian tube function scores were recorded and compared before, January, June and December, respectively. Results on January, all the patients' ear symptoms were obviously improved, the score of eustachian tube function was increased, the effective rate was 100, and the symptoms of all patients disappeared basically on June after operation. The score of eustachian tube function was significantly increased, and the effective rate was 100%. On December, the symptoms of 2 ears recurred, and the score of eustachian tube function was significantly lower than that of June, but still higher than that before operation, and the other 10 ears showed obvious improvement. The functional score of eustachian tube was significantly higher than that before operation. The effective rate was 84.6. The results of satisfaction survey on December showed that 84.6% patients were satisfied with the treatment process. Conclusion the patients with chronic recurrent secretory otitis media were treated with eustachian tube balloon dilatation. The symptoms and scores of eustachian tube were improved significantly in most of the patients after operation, and the short-term and medium-term curative effects were significant, and the overall treatment satisfaction was high.
【作者单位】：中山大学附属第三医院耳鼻咽喉科;
【基金】：教育部留学回国人员科研启动基金(2011-1568)~~
【分类号】：R764.9

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