咽鼓管球囊扩张术在咽鼓管功能障碍疾病中的应用

发布时间：2018-03-13 13:07

本文选题：咽鼓管球囊扩张术　切入点：咽鼓管功能不良　出处：《临床耳鼻咽喉头颈外科杂志》2014年22期 　论文类型：期刊论文

【摘要】：目的:探讨咽鼓管球囊扩张术在咽鼓管功能障碍疾病中的疗效。方法:收集症状性咽鼓管功能不良患者(有耳闷塞感,伴或不伴听力下降,鼓膜检查无明显异常)22例(30耳),分泌性中耳炎患者15例(20耳)。所有患者术前咽鼓管测压(TMM)均证实为咽鼓管功能不良,保守治疗3个月无效,行咽鼓管球囊扩张术。用视觉评分量表(VAS评分)对耳闷塞感、听物朦胧感、耳内水泡声、耳鸣等进行主观症状评估,记录术前,术后1周、1个月及6个月评分情况,术后6个月复查TMM及鼓膜积液恢复情况。结果:术前耳闷塞感、听物朦胧感VAS评分为8.2±1.4、6.2±1.2,术后1周VAS评分为2.0±1.2、3.1±0.8,耳闷塞感、听物朦胧感评分显著降低(P0.05);术后1个月耳闷塞感、听物朦胧感症状持续消失,术后6个月症状无反复。TMM正常R值比例显著提高。单纯咽鼓管不良患者治疗有效率为96.6%,分泌性中耳炎患者有效率为95.0%。结论:咽鼓管球囊扩张术短期治疗效果良好,可能为解决咽鼓管功能障碍疾病提供一个新的途径。
[Abstract]:Objective: to investigate the effect of eustachian tube balloon dilatation in patients with eustachian tube dysfunction. There were no obvious abnormalities in tympanic membrane examination in 22 cases (30 ears) and secretory otitis media in 15 cases (20 ears). All the patients were proved to have dysfunctional eustachian tube before operation and the conservative treatment was ineffective for 3 months. Using visual score scale (VAS) to evaluate the subjective symptoms of ear stuffiness, hearing obscurity, acoustic blisters, tinnitus and so on, and to record the scores before operation, 1 week, 1 month and 6 months after operation. Results: the preoperative VAS score of ear stuffy, auditory hazy was 8.2 卤1.4U 6.2 卤1.2, the VAS score of 1 week after operation was 2.0 卤1.2 卤0.8, the obliteration of ear and the score of hazy hearing decreased significantly (P 0.05), 1 month after operation, the scores of ear clogging and hearing hazy were significantly lower than that of P0.050.Results: the scores of TMM and tympanic effusion were significantly decreased at 6 months after operation, and the scores of auditory hazy were 8.2 卤1.4o6.2 卤1.2 卤1.2respectively. Hearing hazy symptoms continue to disappear, The effective rate of simple eustachian tube disease was 96.6m, and the effective rate of secretory otitis media was 95.00.Conclusion: eustachian tube balloon dilatation is effective in the short term. It may provide a new way to solve the disease of eustachian tube dysfunction.
【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疾病研究所;
【分类号】：R764.9

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