摘要
目的探索咽鼓管球囊扩张术(PTCA)治疗慢性复发性分泌性中耳炎的临床效果。方法选取2016年1月～2018年1月我院收治的100例慢性复发性分泌性中耳炎患者,使用奇偶数分组模式分为对照组和观察组,每组各50例。对照组行鼓膜置管手术治疗,观察组行咽鼓管PTCA治疗,比较两组的临床效果。结果观察组瓦氏动作(Valsalva)、气导听阈、并发症总发生率、术后1、3、6个月咽鼓管功能障碍评分低于对照组(P<0.05),导听阈、总有效率高于对照组(P<0.05),积液消失时间、耳鸣消失时间、鼓膜愈合时间、听力恢复正常水平时间短于对照组,差异均有统计学意义(P<0.05)。结论对复发性慢性分泌性中耳炎患者实施咽鼓管PTCA治疗效果显著。
Objective To investigate the clinical effect of balloon dilatation(PTCA)of eustachian tube on chronic recurrent secretory otitis media.Methods A total of 100 patients with chronic recurrent secretory otitis media from January 2016 to January 2018 were enrolled in the hospital.By an odd/even numbering,they were divided into control group(tympanic membrane catheterization)and observation group(Eustachian PTCA),50 cases in each group.The clinical effect of the two groups was compared.Results The Valsalva,airway hearing threshold,total incidence of complications,eustachian dysfunction scores 1,3,and 6 months after operation were lower than those in the control group(P<0.05).The airway hearing threshold and total effectiveness rate in the observation group were higher than those the control group(P<0.05).The time of effusion disappearance and tinnitus disappearance,the healing time of tympanic membrane,and the time of hearing returning to normal were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion For chronic recurrent secretory otitis media,eustachian PTCA can obtain a remarkable effect.
作者
李宏斌
LI Hong-bin(Department of Otorhinolaryngology Head and Neck Surgery,Central Hospital of Xinyu Iron and Steel Group Co.,Ltd.,Jiangxi Province,Xinyu 338001,China)
出处
《中国当代医药》
2019年第5期162-164,共3页
China Modern Medicine
关键词
咽鼓管球囊扩张术
复发性
分泌性中耳炎
效果
Eustachian balloon dilatation
Recurrent
Secretory otitis media
Effect
