摘要
目的探究咽鼓管球囊扩张术治疗慢性复发性分泌性中耳炎的临床疗效。方法选取性复发性分泌性中耳炎患者86例按照随机系统分对照组、实验组,各43例。对照组采用常规手术治疗;实验组采用咽鼓管球囊扩张术治疗。比较两组患者慢性复发性分泌性中耳炎治疗效果;临床表现消失时间、听力恢复正常水平时间、鼓膜愈合时间;治疗前后组气导听阈、骨导听阈、valsalva。结果实验组患者慢性复发性分泌性中耳炎治疗效果比对照组高(P<0.05);实验组临床表现消失时间、听力恢复正常水平时间、鼓膜愈合时间比对照组短(P<0.05);治疗前两组患者气导听阈、骨导听阈、valsalva相似,差异无统计学意义;实验组治疗后组气导听阈、骨导听阈、valsalva优于对照组(P<0.05)。结论咽鼓管球囊扩张术治疗慢性复发性分泌性中耳炎的临床疗效确切,可有效改善患者听力水平,促进其临床症状消退,加速鼓膜愈合,缩短疗程,效果肯定,值得推广。
Objective To investigate the clinical efficacy of Eustachian tube balloon dilatation in the treatment of chronic recurrent secretory otitis media.Methods86patients with recurrent secretory otitis media were divided into four groups according to the randomized control group and the experimental group.The control group was treated with conventional surgery.The experimental group was treated with Eustachian tube balloon dilatation.The treatment of chronic recurrent secretory otitis media was compared between the two groups,the time of disappearance of clinical manifestation,the normal time of hearing recovery,the healing time of tympanic membrane,the auditory hearing threshold,and the valence of the bone.Results The therapeutic effect of chronic recurrent secretory otitis media in the experimental group was higher than that in the control group(P<0.05).The time of disappearance of the clinical manifestation and the normal time of hearing recovery were shorter than those in the control group(P<0.05)There was no significant difference between the two groups in the air conduction hearing threshold,bone conduction threshold and valsalva,the difference was not statistically significant;the experimental group after treatment group ventilation threshold,bone hearing threshold,valsalva better than the control group(P<0.05).Conclusion Eustachian tube balloon dilatation is effective in the treatment of chronic recurrent secretory otitis media.It can effectively improve the hearing level of patients,promote the regression of clinical symptoms,accelerate the healing of tympanic membrane,shorten the course of treatment,and make sure that it is worthy of promotion.
作者
祁爱平
Qi Aiping(Department of Otorhinolaryngology, Elderly Rehabilitation hospital, Nantong City, Nantong, Jiangsu, 226001, China)
出处
《当代医学》
2018年第1期18-20,共3页
Contemporary Medicine
关键词
咽鼓管球囊扩张术
慢性复发性分泌性中耳炎
临床疗效
Eustachian tube balloon dilatation
Chronic recurrent secretory otitis media
Clinical efficacy
