鼻内镜下咽鼓管置管联合鼓室清窍汤冲洗治疗慢性分泌性中耳炎临床观察

发布时间：2018-04-08 14:23

本文选题：慢性分泌性中耳炎　切入点：咽鼓管置管　出处：《南京中医药大学学报》2015年02期

【摘要】：目的观察鼻内镜下咽鼓管置管联合鼓室中药液冲洗治疗慢性分泌性中耳炎(CSOM)的治疗效果。方法将2012年9月-2014年3月期间就诊的80例CSOM患者随机分成2组。实验组40例(61耳)行经鼻内镜下咽鼓管置管联合鼓室清窍汤冲洗,每次2 m L,4~7 d。对照组40例(59耳)行鼓膜切开置管,置入管通常6~8周后取出或自行掉落。术后随访6月,观察2组疗效。结果实验组治愈率为81.97%,总有效率为95.08%,优于对照组(64.41%、83.05%),P0.05。实验组并发症发生率为9.84%,低于对照组(28.81%),P0.05。实验组复发率为6.56%,低于对照组(20.34%),P0.05。结论鼻内镜下咽鼓管置管联合鼓室清窍汤冲洗治疗慢性分泌性中耳炎,创伤小、疗效确切、副反应少、复发率低,值得临床推广。
[Abstract]:Objective to observe the therapeutic effect of nasal endoscopic tube insertion of eustachian tube combined with tympanic liquid washing in the treatment of chronic secretory otitis media (CSOM).Methods 80 patients with CSOM from September 2012 to March 2014 were randomly divided into two groups.In the experimental group, 40 cases (61 ears) were treated by endoscopically intubated eustachian tube with tympanic clear orifices decoction for 7 days.In the control group, 40 cases (59 ears) were treated with tympanic membrane incision and tube placement.Six months after operation, the curative effect of the two groups was observed.Results the cure rate of the experimental group was 81.97 and the total effective rate was 95.08, which was better than that of the control group (64.41 and 83.05).The incidence of complications in the experimental group was 9.84, which was lower than that in the control group (28.81, P 0.05).The recurrence rate in the experimental group was 6.56, which was lower than that in the control group (20.34%, P 0.05).Conclusion the treatment of chronic secretory otitis media with nasal endoscope tube insertion combined with tympanic clear orifices decoction has the advantages of less trauma, less side effects, less side effects and low recurrence rate, so it is worth popularizing in clinic.
【作者单位】：泸州医学院附属中医医院;
【基金】：四川省泸州市科技计划项目(2012-S-38(9/14))
【分类号】：R764.21

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