中华耳科学杂志2016，Vol.14Issue(5)：586-590,5.DOI:10.3969/j.issn.1672-2922.2016.05.006
咽鼓管球囊扩张联合鼓膜置管治疗难治性分泌性中耳炎
Balloon dilation eustachian tuboplasty combined with tympanotomy tube insertion in the treatment of refractory secretory
摘要
Abstract
Objective To report outcomes of balloon dilation eustachian tuboplasty combined with tympanotomy tube insertion in the treatment of refractory secretory otitis media. Methods Data from 27 cases (41 ears) of refractory se-cretory otitis media were retrospectively analyzed and divided into a experimental and a control group. Cases in the ex-perimental group received eustachian tube balloon dilation combined with tympanotomy tube insertion (n=13, 20 ears), while those in the control group received tympanotomy tube insertion only (n=14, 21 ears). The inclusion criteria were:18 years or older, failing drug and tympanotomy tube insertion treatment, recurrent secretory otitis media over a course≥2 years, three or more tympanotomy tube insertion procedures, and type B or C tympanogram. Follow ups were conduct-ed at 1, 3 and 6 months following the surgery. The 7-item eustachian tube dysfunction questionnaire (ETDQ-7), hearing test and otoscopy were completed at the initial visit and again at each follow up visit. Results Eustachian tube function improved in both groups at 1, 3 and 6 months following the surgery. Compared with before treatment, ETDQ-7 scores in both groups were lower at 1 month following the surgery (t=17.581,P=0.000;t=16.110,P=0.000). At 3 and 6 months fol-lowing the surgery, ETDQ-7 scores of the experimental group were lower than those of the control group (t=-3.202, P=0.003;t=-5.612, P=0.000). Compared with 3 months following the surgery, ETDQ-7 scores of the control group showed an increase at 6 months following the surgery (t=2.201, P=0.037). Air-bone gap decreased in both groups at 1 month fol-lowing the surgery (t=12.896, P=0.000;t=14.403,P=0.000). Overall treatment effectiveness in the experimental group was higher than that in the control group at 3 and 6 months following the surgery (2=4.221, P=0.040;2=4.020, P=0.045). Conclusions For refractory secretory otitis media caused by eustachian tube dysfunction, eustachian tube balloon dilation combined with tympanotomy tube insertion can significantly improve clinical symptoms and improve hearing. It is an ef-fective surgical intervention and worthy of wide application.关键词
咽鼓管球囊扩张/鼓膜切开置管/难治性分泌性中耳炎/咽鼓管功能障碍Key words
balloon dilation eustachian tuboplasty/tympanotomy tube insertion/refractory secretory otitis media/eustachian tube dysfunction分类
医药卫生引用本文复制引用
胡月,董耀东,刘东亮,马秀岚..咽鼓管球囊扩张联合鼓膜置管治疗难治性分泌性中耳炎[J].中华耳科学杂志,2016,14(5):586-590,5.基金项目
辽宁省科学技术计划项目2008225010 Fund Project:Science and technology project of Liaoning Province2008225010 （）
