咽鼓管球囊扩张术在咽鼓管功能障碍疾病中的应用

梁茂金; 郑亿庆; 张志钢; 许耀东; 区永康; 陈穗俊; 杨海弟; 黄秋红; 邱泽恒; 陈玲

doi:10.13201/j.issn.1001-1781.2014.22.009

咽鼓管球囊扩张术在咽鼓管功能障碍疾病中的应用

- 中山大学孙逸仙纪念医院耳鼻咽喉科中山大学听力与言语疾病研究所(广州, 510120)

详细信息

通讯作者: 郑亿庆,E-mail:yiqingzheng@hotmail.com

中图分类号: R764.21

收稿日期: 2014-07-17

Eustachian tube balloon dilation in eustachian tube dysfunction related diseases

- Department of Otolaryngology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Institute of Hearing and Speech-Language Science, Guangzhou, 510120, China

More Information

Corresponding author: ZHENG Yiqing, E-mail: yiqingzheng@hotmail.com

Received Date: 17 July 2014

摘要

摘要: 目的:探讨咽鼓管球囊扩张术在咽鼓管功能障碍疾病中的疗效。方法:收集症状性咽鼓管功能不良患者(有耳闷塞感,伴或不伴听力下降,鼓膜检查无明显异常)22例(30耳),分泌性中耳炎患者15例(20耳)。所有患者术前咽鼓管测压(TMM)均证实为咽鼓管功能不良,保守治疗3个月无效,行咽鼓管球囊扩张术。用视觉评分量表(VAS评分)对耳闷塞感、听物朦胧感、耳内水泡声、耳鸣等进行主观症状评估,记录术前,术后1周、1个月及6个月评分情况,术后6个月复查TMM及鼓膜积液恢复情况。结果:术前耳闷塞感、听物朦胧感VAS评分为8.2±1.4、6.2±1.2,术后1周VAS评分为2.0±1.2、3.1±0.8,耳闷塞感、听物朦胧感评分显著降低(P<0.05);术后1个月耳闷塞感、听物朦胧感症状持续消失,术后6个月症状无反复。TMM正常R值比例显著提高。单纯咽鼓管不良患者治疗有效率为96.6%,分泌性中耳炎患者有效率为95.0%。结论:咽鼓管球囊扩张术短期治疗效果良好,可能为解决咽鼓管功能障碍疾病提供一个新的途径。
- 咽鼓管球囊扩张术 /
- 咽鼓管功能不良 /
- 中耳炎 /
- 伴诊出液 /
- 膨胀不全 /
- 内陷袋
Abstract: Objective:To investigate the effect of Eustachian tube balloon dilation (ETBD) in treatment of eustachian tube related diseases. Method:Fifteen cases (20 ears) of otitis media with effusion and 22 cases (30 ears) of symptomatic Eustachian tube dysfunction were recruited. Technique of tubomanometry (TMM) showed obstructive Eustachian tube dysfunction in all patients. All the patients were received ETBD and followed up with VAS evaluation of ear fullness, muffled hearing, poping sound in the ear and tinnitus. And also the TMM change and middle ear effusion. Result:Ear fullness, muffled hearing released with 1 week (ear fullness:8.2±1.4 vs. 2.0±1.2,P<0.05, muffled hearing:6.2±1.2 vs.3.1±0.8, P<0.05).No recurrence was seemed within 6 months. The eustachian function test turned better. Symptomatic Eustachian tube dysfunction had an effective rate of 96.6% while otitis media with effusion was 95.0%.Conclusion:ETBD have good short-term effect in obstructive eustachian tube dysfunction related middle ear dysfunction, which might provide a good way to solve the eustachian tube related diseases.
- eustachian tube balloon dilation /
- eustachian tube dysfunction /
- otitis media /
- with effusion /
- atelecta-sis /
- retraction pocket

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