咽鼓管球囊扩张术治疗慢性分泌性中耳炎的效果分析

　　[摘要]目的 探讨咽鼓管球囊扩张术（ETBD）治疗慢性分泌性中耳炎的临床效果。方法 选择普宁市人民医院耳鼻喉科2015年1月～2016年2月收治的慢性分泌性中耳炎患者57例（61耳），按入院顺序随机分为观察组29例（31耳）、对照组28例（30耳）。观察组患者给予ETBD，对照组给予鼓膜置管术。比较两组患者的咽鼓管功能障碍（ETD）情况、纯音听阈值（PTA），治疗效果。结果 术后6、12、18個月，观察组患者的ETDQ-7评分显著低于对照组（P<0.05）。术后12个月，观察组患者的PTA显著低于对照组（P<0.05）。术后12、18个月，观察组的有效率（83.9%、93.5%）显著高于对照组（56.7%、43.3%）（P<0.05）。结论 ETBD治疗慢性分泌性中耳炎可显著缓解患者的临床症状，提高临床效果。
　　[关键词]咽鼓管球囊扩张术；慢性分泌性中耳炎；鼓膜置管术
　　[中图分类号] R764.21 [文献标识码] A [文章编号] 1674-4721（2018）2（b）-0101-03
　　Effect analysis of the eustachian tube balloon dilation treating chronic secretory otitis media
　　LIN Si-ping1 ZHANG Zhi-gang2
　　1.Department of ENT，People′s Hospital of Puning City，Guangdong Province，Puning 515300，China；2.Department of ENT，the Second Affilatied Hospital of Zhongshan Medical University，Guangdong Province，Guangzhou 510120，China
　　[Abstract]Objective To discuss the clinical effect of the eustachian tube balloon dilation （ETBD） treating chronic secretory otitis media.Methods 57 patients （61 ears） with chronic secretory otitis media treated in People′s Hospital of Puning City from January 2015 to February 2016 were selected and they were randomly divided into the observation group （29 patients，31 ears） and control group （28 patients，30 ears） according to hospital sequence.Patients in the observation group were treated with ETBD，while patients in the control group were treated with grommet insertion.Eustachian tube dysfunction （ETD），pure toneaudiometry （PTA） and treatment effect were compared between the two groups.Results ETDQ-7 score in patients of the observation group was significantly lower than those of the control group after 6，12 and 18 months operation （P<0.05）.PTA in patients of the observation group was significantly lower than that of the control group after 12 months operation （P<0.05）.The effective rate of the observation group （83.9%，93.5%） was significantly higher than that of the control group （56.7%，43.3%） at after 12，18 months operation （P<0.05）.Conclusion ETBD treating chronic secretory otitis media can significantly relieve the clinical symptoms of the patients and improve the clinical effect.
　　[Key words]Eustachian tube balloon dilation；Chronic secretory otitis media；Grommet insertion
　　咽鼓管功能障碍（eustachian tube dysfuntion，ETD）主要指因多种因素导致咽鼓管发生通气功能不良，使中耳气压失去平衡的功能障碍。典型ETD可表现为随外界气压的变化，耳部出现闷塞感、完成Valsalva动作困难等。成人ETD发生率为0.9%～5%，<10岁的儿童中约40%至少发生过1次ETD经历，因此，ETD是临床耳鼻喉科常见疾病[1]。慢性分泌性中耳炎主要临床表现为耳部闷胀感、听力不同程度下降等，该病发病机制至今上不明确，病因复杂，多数学者认为是由ETD、咽鼓管阻塞导致。手术是治疗慢性分泌性中耳炎的重要治疗方法，咽鼓管球囊扩张术（eustachian tube balloon dilation，ETBD）因其具有操作简单、创伤性小、安全性高、有效率高等优点，备受临床医生的关注[2-3]。本研究采用ETBD与鼓膜置管术治疗慢性分泌性中耳炎，并比较两种治疗方法的应用价值，现报道如下。

相关热词搜索：中耳炎 分泌 扩张 效果 治疗慢性