咽鼓管测压对儿童分泌性中耳炎疗效评估的价值

发布时间：2018-05-10 21:20

本文选题：咽鼓管测压 + 分泌性中耳炎　；参考：《听力学及言语疾病杂志》2017年06期

【摘要】：目的探讨儿童分泌性中耳炎(otitis media with effusion,OME)治疗前后咽鼓管测压(tubomanometry,TMM)对预测OME预后的价值。方法 66例(98耳)OME患儿(中耳炎组,其中单耳34例,双耳32例)分别在治疗前及正规药物治疗后1月内进行声导抗和TMM测试,记录鼓室导抗图类型及咽鼓管评分(eustachian tube scores,ETS)值,并比较二者之间关系,以单耳患者的正常耳(34耳)作为正常对照组。结果治疗前,中耳炎组ETS平均值(2.27±1.98分)低于正常对照组(5.14±0.98分)(P0.01),鼓室导抗图B型耳的ETS平均值(1.70±1.68分)低于C型耳(3.02±2.11分)(P0.01)。治疗后中耳炎组ETS平均值(3.62±1.85分)显著高于治疗前(P0.05),但治疗后鼓室导抗图B型耳的ETS平均值(3.58±1.69分)与C型耳(3.98±1.45分)差异无统计学意义(P0.05),B型耳的ETS提高值(1.84±1.7分)高于C型耳(0.72±0.03分)(P0.05)。无论B型耳还是C型耳,有效组治疗前后ETS平均值及治疗前后ETS差值均高于无效组(P0.01)。结论儿童分泌性中耳炎患耳治疗后ETS值提高,咽鼓管功能改善;治疗前鼓室导抗图B型耳的ETS值较C型耳低,治疗后B型耳的ETS提高值高于C型耳;TMM可为临床评估儿童OME预后提供一定参考。
[Abstract]:Objective to evaluate the prognostic value of otitis media with effusionOME in predicting the prognosis of patients with otitis media in children before and after treatment with eustachian tube manometry (TMMM). Methods Sixty-six children with OME (otitis media group, including 34 cases with monaural and 32 cases with double ears) were tested with acoustic impedance and TMM before treatment and within one month after regular drug treatment. The type of tympanic impedance and the score of eustachian tube score were recorded. The relationship between them was compared. 34 ears of monaural patients were used as normal control group. Results before treatment, the average value of ETS in otitis media group (2.27 卤1.98) was lower than that in normal control group (5.14 卤0.98) and the mean value of ETS was 1.70 卤1.68 in tympanogram B ear (P 0.01) lower than that in type C auricle (3.02 卤2.11). After treatment, the average value of ETS in otitis media group (3.62 卤1.85) was significantly higher than that before treatment (P 0.05), but the average value of ETS in type B ear of tympanic conductance map was 3.58 卤1.69) and that in type C ear was 3.98 卤1.45). There was no significant difference in ETS between type B ear and type C ear group (1.84 卤1.7), which was significantly higher than that in type C ear (0.72 卤0.03). No matter type B ear or type C ear, the mean value of ETS and the difference of ETS before and after treatment in the effective group were higher than that in the ineffective group (P 0.01). Conclusion the ETS value and eustachian tube function of children with secretory otitis media were improved after treatment, and the ETS value of type B ear was lower than that of type C ear. The improved value of ETS in type B ears after treatment is higher than that in type C ears. It can provide some reference for clinical evaluation of prognosis of OME in children.
【作者单位】：中山大学孙逸仙纪念医院耳鼻咽喉科中山大学听力与言语研究所;中山大学孙逸仙纪念医院博济医疗中心;
【基金】：国家自然科学基金青年基金(81400456)资助
【分类号】：R764.21

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