山东大学耳鼻喉眼学报

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咽鼓管置管在治疗鼻咽癌放疗后分泌性中耳炎中的价值

刘阳云, 孙正良, 李正贤, 江文, 冯秀荣   

  1. 解放军第163中心医院耳鼻喉科,湖南 长沙 410003
  • 收稿日期:2006-05-31 修回日期:1900-01-01 出版日期:2006-08-24 发布日期:2006-08-24
  • 通讯作者: 刘阳云

Salpingocatheterism to treat secretory otitis media in patients with nasopharyngeal carcinoma after radiotherapy

LIU Yang-yun, SUN Zheng-liang, LI Zheng-xian, JIANG Wen, FENG Xiu-rong   

  1. Department of Otolaryngology, No.163 Hospital of PLA, Changsha 410003, Hunan, China
  • Received:2006-05-31 Revised:1900-01-01 Online:2006-08-24 Published:2006-08-24
  • Contact: LIU Yang-yun

摘要: 目的:探讨咽鼓管置管治疗鼻咽癌(NPC)放疗后分泌性中耳炎(SOM)的价值。方法:分析鼻内窥镜下经咽鼓管置管治疗106例(112耳) NPC放疗后SOM的疗效。结果:患者接受治疗后,耳鸣消失81耳(72.32%) ,好转 25耳(22.32%), 无效6耳(5.36%) ,总有效率94.64%。耳闷塞感消失 92耳(82.14%) ,好转18耳(16.07%),无效2耳(1.79%),总有效率98.21%。无1例发生耳漏。声阻抗检查:鼓室曲线A型56耳(50.00%),As型42耳(37.50%),B型2耳(1.79%),C型12耳(10.71%)。治疗前后0.5、1.0、2.0?kHz气导听阈均值分别为(47.0±5.0)dBHL和(28.5±3.0)dBHL,两者具有统计学差异(P<0.001)。结论:咽鼓管置管治疗NPC放疗后SOM,对咽鼓管具有一定的支撑作用,能有效地避免耳漏。

关键词: 咽鼓管置管法, 中耳炎, 伴渗出液, 鼻咽肿瘤, 放射治疗

Abstract: To estimate the value of salpingocatheterism to treat secretory otitis media (SOM) in patients with nasopharyngeal carcinoma (NPC) after radiotherapy. Methods:The curative effects were analyzed in 106 SOM patients (112 ears) with NPC after radiotherapy by using salpingocatheterism under nasal endoscopic visualization and tympanal retention catheter and intratympanic application of medicine through the eustachian tube. Results: All patients had hearing impairment , tinnitus and blocked feeling, and acoustic immittance test showed that 112 (100%) ears had “Type B” tympanogram. For tinnitus treatment , complete response was found in 81 ears (72.32%), partial response in 25 (22.32%), and no response in 6(5.36%). For blocked feeling, the result was 92(82.14%),18(16.07%), and 2(1.79%) respectively. The total response rate for the above two symptoms was 94.64% and 98.21% respectively. There was no otorrhea. The acoustic immittance test showed “Type A”, “Type As”, “Type B” and “Type C" tympanogran were in 56 ears(50%), 42 (37.50%), 2 (1.79%) and 12 (10.71%), respectively. The mean of 0.5kHz,1?kHz, 2?kHz of puretone hearing thresholds was (28.5±3.0)dBHL, but before treatment it was (47.0±5.0)dBHL. Conclusion: The salpingocatheterism is very effective and practicable to treat SOM in patients with NPC after radiotherapy by supporting and enlarging the eustachian tube.

Key words: Otitis media with effusion, Salpingocatheterism, Nasopharyngeal neoplasms, Radiotherapy

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