鼓膜置管对分泌性中耳炎患儿咽鼓管功能的影响

doi:10.6040/j.issn.1673-3770.0.2020.476

摘要/Abstract

摘要： 目的分析分泌性中耳炎患儿实施鼓膜置管对咽鼓管功能的影响。方法研究纳入2019年1月~2019年6个月收治26例分泌性中耳炎患儿,所有患儿接受鼓膜置管术,统计术前、术后3个月、术后半年、随访1年患儿咽鼓管功能。结果本组26例患儿左耳道经治疗后,在不同压力下咽鼓管测压显示,术后3个月、6个月、1年,患儿测试结果与术前对比有升高(P<0.05);且患儿Valsalva法测试显示,术后3个月、6个月、1年均高于术前(P<0.05);术前、术后不同时间吞咽功能评价P>0.05;本组患儿术后3个月、6个月、1年咽鼓管功能评价ETS总分较术前明显升高P<0.05。本组患儿右耳道术后3个月、6个月、1年不同时间,患儿30 mbar、40 mbar、50 mbar下咽鼓管测压R值显示均升高,与术前对比P<0.05;且患儿Valsalva测试结果、咽鼓管功能ETS总评分均升高,与术前对比P<0.05;而吞咽功能术前、术后对比P>0.05。本组26例患儿,治疗结果显示,治愈20例、有效6例、无效0例,并发症发生率3.85%。结论分泌性中耳炎患儿在接受保守治疗无果的情况下,考虑患儿生长发育特殊性,采取鼓膜置管术治疗是一种较为可靠的措施,对改善患儿咽鼓管功能具有积极作用。

关键词: 儿童, 分泌性中耳炎, 咽鼓管功能, 鼓膜置管术

Abstract: Objective To analyze the effect of tympanic tube placement on the function of the Eustachian tube in children with secretory otitis media. Methods The study included 26 children with secretory otitis media admitted to our hospital from January 2019 to June 2019. All children underwent tympanic tube insertion. The statistics were collected before operation, 3 months after operation, half a year after operation, and 1 year follow-up. Eustachian tube function. Results After the treatment of the left ear canal of the 26 children in this group, the Eustachian tube pressure measurement under different pressures showed that the test results of the children were significantly higher at 3, 6 months, and 1 year after the operation(P<0.05); and the Valsalva method test showed that the children were higher than before the operation at 3 months, 6 months and 1 year after the operation(P<0.05); the evaluation of swallowing function at different times before and after the treatment(P>0.05); The total ETS scores of the eustachian tube function evaluation of the children in this group were significantly higher than those before the operation at 3 months, 6 months, and 1 year after operation(P<0.05). In this group of children with right ear canal at different times after 3 months, 6 months, and 1 year, the R values of 30 mbar, 40 mbar, and 50 mbar lower eustachian tube pressure of the children showed a significant increase, compared with preoperative(P<0.05); And the children's Valsalva test results and the total ETS score of Eustachian tube function were significantly increased, compared with preoperatively(P<0.05); while swallowing function was compared before and after surgery(P>0.05). In this group of 26 children, the treatment results showed that 20 cases were cured, 6 cases were effective, and 0 cases were ineffective. the complication rate was 3.85%. Conclusion Children with secretory otitis media in the case of failure of conservative treatment, tympanoplasty is a relatively reliable measure considering the particularity of growth and development of children, which has a positive effect on improving the function of eustachian tube

Key words: Children, Secretory otitis media, Eustachian tube function, Tympanic membrane catheterization

中图分类号:

R764.21

焦雪梅,杨扬,李春凤,张晓琳. 鼓膜置管对分泌性中耳炎患儿咽鼓管功能的影响[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 60-63.

JIAO Xuemei, YANG Yang, LI Chunfeng, ZHANG Xiaolin. Effect of tympanic membrane insertion on the function of eustachian tube in children with secretory otitis media[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 60-63.

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