279例耳闷胀感的病因分析

目的 探讨产生耳闷胀感的部位和原因。方法 收集耳闷胀感为主诉的279例362耳，对患耳的临床表现、鼓室导抗图、纯音测听和咽鼓管功能进行分析。结果 362耳中鼓室导抗图A型203耳、B型111耳、C型33耳以及鼓膜穿孔15耳。纯音测听表现为传导性聋、感音神经性聋、混合性聋以及正常者分别是83耳、8l耳、105耳和93耳。在362耳中，咽鼓管功能异常208耳，在A型鼓室导抗图203耳中，咽鼓管功能异常67耳。结论 产生耳闷胀感的病变部位包括外、中、内耳和面神经的病变，其中以分泌性中耳炎、各种原因引起的感音神经性聋和“咽鼓管狭窄症”为多。

Causes of 279 Cases with Sensation of Ear Fullness

Objective To analyze the causes inducing the sensation of ear fullness. Methods 362 ears with sensation of ear fullness were collected. The clinic features, audiogram, tympanogram and Eustachian tube function in these ears were analysed. Resuls 203 ears with type A, lll ears with type B,33 ears with type C and 15 ears with perforated tympanum membrane were found in 362 ears as tympanograms were done. Among audiograms of 362 ears, conductive deafness, sensorineural deafness, mixed deafness and normal ears were 83.81. 105 and 93 ears respectively. Eustachian tube test revealed 208 abnormal ears out of 362 ears, and 67 abnormal ears were found in 203 ears with type A tympanogram. Conclusion The causes inducing sensation of ear fullness covered the outer, middle and inner ear, and face nerve. In these cases with sensation of ear fullness, the diseases resulted in sensation of ear fullness mainly mainly were secretory otitis media, sensorineural deafness induced by vary causes and abnormal eu- stachian tube function.