鼻内镜下咽鼓管球囊扩张术治疗老年慢性分泌性中耳炎患者的疗效

发布时间：2018-12-09 17:38

【摘要】：目的探讨鼻内镜下咽鼓管球囊扩张术治疗老年慢性分泌性中耳炎患者的临床疗效。方法 80例慢性分泌性中耳炎患者均为单耳。根据手术治疗方式不同分为对照组40例,采用鼓膜置管术治疗;研究组40例,采用鼻内镜下咽鼓管球囊扩张术治疗。随访6个月后,采用咽鼓管功能障碍评分调查问卷(ETDQ-7)评估患者手术前后咽鼓管功能评分,并对比Valsalva测试(捏鼻鼓气法)、整体临床疗效及并发症发生率。结果术后6个月两组ETDQ-7、Valsalva测试评分均低于术前,且研究组低于对照组(P0.05);研究组治疗总有效率高于对照组(P0.05);两组并发症发生率比较差异无统计学意义(P0.05)。结论给予老年慢性分泌性中耳炎患者鼻内镜下咽鼓管球囊扩张术治疗效果显著,能有效改善患者咽鼓管功能,减轻临床症状与体征,提高患者听力水平,安全性较高。
[Abstract]:Objective to investigate the clinical effect of endoscopic balloon dilatation of eustachian tube in elderly patients with chronic secretory otitis media. Methods 80 patients with chronic secretory otitis media were single ear. According to the different methods of operation, 40 cases were divided into control group (n = 40) and study group (n = 40) treated by balloon dilatation of eustachian tube under nasal endoscope. After 6 months follow-up, eustachian tube functional score (ETDQ-7) was used to evaluate the eustachian tube functional score before and after operation, and compared with Valsalva test (pinching nasal tympanic method), the overall clinical efficacy and incidence of complications. Results six months after operation, the scores of ETDQ-7,Valsalva test in the two groups were lower than those in the preoperative group and the study group was lower than the control group (P0.05), and the total effective rate in the study group was higher than that in the control group (P0.05). There was no significant difference in the incidence of complications between the two groups (P0.05). Conclusion Endoscopic balloon dilatation of eustachian tube in elderly patients with chronic secretory otitis media is effective, which can effectively improve eustachian tube function, alleviate clinical symptoms and signs, and improve hearing level of patients.
【作者单位】：贵阳中医学院第二附属医院;
【分类号】：R764.9

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