山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (1): 63-65.

• 论文 • 上一篇    下一篇

鼓膜微型管置入术治疗中耳不张32例

王治强1,都基亮1,马秀芳2,宋莉1,王曦1,孔庆东1,姜海华1,王仁文1   

  1. 1.滨州医学院烟台附属医院耳鼻咽喉头颈外科, 山东  烟台 264100;2.滨州医学院附属医院耳鼻咽喉头颈外科,
    山东  滨州  256603
  • 收稿日期:2011-06-13 出版日期:2012-02-16 发布日期:2012-02-16
  • 作者简介:王治强,副主任,主治医师。

Placement of tympanostomy microtube to treat middie ear atelectasis in 32 cases

WANG Zhi-qiang1, DU Ji-liang1, MA Xiu-fang2, SONG Li1, WANG Xi1, KONG Qing-dong1, JIANG Hai-hua1, WANG Ren-wen1   

  1. 1. Department of OtorhinolaryngologyHead and Neck Surgery, The affiliated hospital of Binzhou Medical College, Yantai 264100, Shandong, China; 2. Department of OtorhinolaryngologyHead and Neck Surgery, The affiliated hospital of Binzhou Medical College, Binzhou, 256603, Shandong, China
  • Received:2011-06-13 Online:2012-02-16 Published:2012-02-16

摘要:

目的   探讨鼓膜微管置入术治疗中耳不张的手术方法和临床疗效。方法   回顾分析32例(34耳)中耳不张的患者病历资料。选择耳闷就诊患者,进行耳镜、听力和鼓室导抗检查,并在局麻或全麻下行鼓膜微管置入术,术后随访2~6个月。结果   置管成功34耳,术后耳闷症状消除30耳,声导抗提示鼓室图由“C”型恢复为“A”型,纯音听阈测试提示听力提高5~15dB。没有患者出现感染、鼓膜穿孔和鼓室硬化等并发症。结论   鼓膜微管置入术治疗中耳不张,不需鼓膜切开,损伤小,效果显著,具有临床应用价值。

关键词: 鼓膜微管置入术;中耳不张

Abstract:

 Objective   To investigate the medical efficacy of tympanostomy microtube placement in the treatment of middle ear atelectasis. Methods   32 cases (34ears) of middle ear atelectasis underwent tympanostomy microtube placement under general or local anesthesia. Operations and clinic data were all reviewed. Prior to the treatments, all patients presented fullness or pressure in the ear. Otoscope, hearing and tympanogram examination were perormed and follow-ups were 2 to 6 months after the operation. Results   All cases were operated successfully. Before the treatments,acoustic immittance tests showed type “C” tympanogram in all 34ears. After the treatment, the fullness disappeared in 30 ears and types “A” tympanograms were found in all the ears. The pure-tone average (PTA)of hearing thresholds were improved significantly with an aveage elevation at 5 to 15dB. No  complication, such as middle ear infection, tympanosclerosis, and  permanent perforation, was found. Conclusions   The placement of tympanostomy microtube, which is minimal invasive without myringotomy, proves to be a simple, effective way to treat middle ear atelectasis.

Key words:  Tympanostomy microtube placement; Middie ear atelectasis

中图分类号: 

  • R742
No related articles found!
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!