咽鼓管球囊扩张术治疗难治性分泌性中耳炎的疗效分析
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摘要
目的探讨咽鼓管球囊扩张术治疗难治性分泌性中耳炎的效果。方法 50例难治性分泌性中耳炎患者随机分为两组各25例,研究组采取咽鼓管球囊扩张术,对照组采取鼓膜置管术,比较两组的治疗效果。结果研究组的总有效率为92.00%,显著高于对照组的68.00%(P <0.05)。研究组的鼓膜愈合时间、耳鸣耳闷消失时间、积液持续存在时间及听力恢复时间均显著短于对照组(P <0.05)。治疗前,两组的ETS、 PTA无显著差异(P>0.05);治疗后,研究组的ETS、 PTA均显著优于对照组(P <0.05)。结论咽鼓管球囊扩张术治疗难治性分泌性中耳炎的效果明显,能缩短治疗时间,促进听力恢复。
Objective To explore the effect of eustachian tube balloon dilatation in the treatment of refractory secretory otitis media.Methods 50 cases of patients with refractory secretory otitis media were randomly divided into two groups, with 25 cases in each group. The study group received eustachian tube balloon dilatation, and the control group received tympanic membrane catheterization. The curative effects of the two groups were compared. Results The total effective rate of the study group was 92.00%, significantly higher than 68.00%of the control group(P <0.05). The tympanic membrane healing time, disappearance time of tinnitus and ear suffocation, duration of effusion and hearing recovery time of the study group were significantly shorter than those of the control group(P <0.05). Before treatment, no statistical difference was found between two groups in the EST and PTA(P >0.05); After treatment, the EST and PTA of the study group were significantly better than those of the control group(P <0.05). Conclusions Eustachian tube balloon dilatation in the treatment of refractory secretory otitis media has obvious effect, which can shorten the treatment time, and promote the recovery of hearing.
Objective To explore the effect of eustachian tube balloon dilatation in the treatment of refractory secretory otitis media.Methods 50 cases of patients with refractory secretory otitis media were randomly divided into two groups, with 25 cases in each group. The study group received eustachian tube balloon dilatation, and the control group received tympanic membrane catheterization. The curative effects of the two groups were compared. Results The total effective rate of the study group was 92.00%, significantly higher than 68.00%of the control group(P <0.05). The tympanic membrane healing time, disappearance time of tinnitus and ear suffocation, duration of effusion and hearing recovery time of the study group were significantly shorter than those of the control group(P <0.05). Before treatment, no statistical difference was found between two groups in the EST and PTA(P >0.05); After treatment, the EST and PTA of the study group were significantly better than those of the control group(P <0.05). Conclusions Eustachian tube balloon dilatation in the treatment of refractory secretory otitis media has obvious effect, which can shorten the treatment time, and promote the recovery of hearing.
引文
[1]张雪溪,陈敏,刘薇,等.应用咽鼓管球囊扩张治疗复发性分泌性中耳炎临床分析[J].中华耳科学杂志, 2016, 14(5):566-571.
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[6]戴炳译,关兵,于爱民,等.咽鼓管球囊扩张术联合鼓膜置管治疗难治性分泌性中耳炎的分析[J].中华耳科学杂志, 2017, 15(6):679-684.
[7]李永奇,陈愈彬,尹根蒂.咽鼓管球囊扩张术治疗慢性复发性分泌性中耳炎[J].中华耳科学杂志, 2016, 14(5):610-614.
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[9]杨乐,龚平桂,郑明奋,等.同期咽鼓管球囊扩张在慢性中耳炎治疗的短期疗效观察[J].中华耳科学杂志, 2016, 14(5):596-600.
[10]张鹏,周慧芳,许轶.咽鼓管球囊扩张术与鼓膜置管术治疗慢性分泌性中耳炎疗效比较[J].山东医药, 2015, 55(19):93-94.
[2]周诗侗,高明华,邹帆,等.咽鼓管球囊扩张治疗慢性分泌性中耳炎[J].听力学及言语疾病杂志, 2018, 26(3):275-279.
[3]彭檀.介入球囊扩张咽鼓管治疗难治性分泌性中耳炎[J].皖南医学院学报, 2018, 37(3):277-279.
[4]胡月,董耀东,刘东亮,等.咽鼓管球囊扩张联合鼓膜置管治疗难治性分泌性中耳炎[J].中华耳科学杂志, 2016, 14(5):586-590.
[5]周诗侗,高明华,邹帆,等.咽鼓管球囊扩张治疗慢性分泌性中耳炎—伴或不伴鼓膜穿刺[J].中华耳科学杂志, 2018, 16(1):48-53.
[6]戴炳译,关兵,于爱民,等.咽鼓管球囊扩张术联合鼓膜置管治疗难治性分泌性中耳炎的分析[J].中华耳科学杂志, 2017, 15(6):679-684.
[7]李永奇,陈愈彬,尹根蒂.咽鼓管球囊扩张术治疗慢性复发性分泌性中耳炎[J].中华耳科学杂志, 2016, 14(5):610-614.
[8]江文博,张建耀,胡建道,等.咽鼓管球囊扩张术治疗慢性分泌性中耳炎的疗效探讨[J].中国中西医结合耳鼻咽喉科杂志, 2017, 25(4):244-246, 253.
[9]杨乐,龚平桂,郑明奋,等.同期咽鼓管球囊扩张在慢性中耳炎治疗的短期疗效观察[J].中华耳科学杂志, 2016, 14(5):596-600.
[10]张鹏,周慧芳,许轶.咽鼓管球囊扩张术与鼓膜置管术治疗慢性分泌性中耳炎疗效比较[J].山东医药, 2015, 55(19):93-94.