摘要
目的:探讨鼓膜置管术后咽鼓管压力测定(TMM)评估咽鼓管功能转归及术后取管时机的可行性。方法:108例(202耳)慢性分泌性中耳炎(OME)患儿均行鼓膜置管术(T型通气管)或伴同期腺样体切除术。术前、术后均定期进行TMM,并记录术前及术后6、12、18个月咽鼓管功能评分量表(ETS-5)并进行统计学分析。结果:术前ETS-5评分与术后6、12、18个月比较均差异有统计学意义,术后12个月与18个月相比差异无统计学意义。鼓膜置管留置时间12个月和18个月的患儿OME的复发率差异无统计学意义,但留置18个月的穿孔率高。结论:鼓膜通气管有助于咽鼓管功能恢复,TMM检查操作简便且无创,适用于术后鼓膜通气管取管时机的评估,术后鼓膜置管留置12个月时宜于取管。
Objective: To evaluate the feasibility of Eustachian tube pressure measurement after tympanic membrane placement and the timing of postoperative tube removal. Method: A total of 108 patients(202 ears) with chronic otitis media with effusion(OME)were enrolled. All patients underwent tympanostomy(T-tube) or with adenoidectomy. Eustachian tube pressure measurement(TMM) was performed preoperatively and postoperatively, and the Eustachian tube score(ETS-5) was recorded before and 6 and 12 months after surgery and statistical analysis was performed. Result: There was a statistically significant difference between the preoperative ETS-5 scores at 6, 12, and 18 months after surgery. There was no significant difference between the 12 months and 18 months after surgery. There was no significant difference in the recurrence rate of OME in patients with tympanic membrane indwelling time of 12 months and 18 months, but the rate of perforation was 18 months. Conclusion: The tympanic ventilation tube helps the recovery of the Eustachian tube function. The TMM examination is simple and non-invasive. It is suitable for the evaluation of the timing of the tympanic ventilation tube. The tympanic membrane is suitable for tube removal after 12 months of indwelling.
作者
秦欢
何景春
杨军
QIN Huan;HE Jingchun;YANG Jun(Department of Otorhinolaryngology Head and Neck Surgery,Xinhua Hospital,Shanghai Jiaotong University School of Medicine,Key Laboratory of Translational Medicine on Ear and Nose Diseases,Shanghai Jiaotong University School of Medicine,Shanghai,200092,China)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2020年第3期215-217,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
申康三年行动计划(No:16CR4007A)。
关键词
中耳炎
伴渗出液
咽鼓管压力测定
咽鼓管功能评分量表
otitis media with effusion
Eustachian tube pressure measurement
Eustachian tube score
