鼻内镜下经咽鼓管冲洗治疗慢性化脓性中耳炎

目的:探讨鼻内窥镜下经咽鼓管冲洗注药治疗单纯型慢性化脓性中耳炎的临床效果。方法:将51例单纯型化脓性中耳炎患者随机分为治疗组28例和对照组23例,治疗组在鼻内镜直视下,经咽鼓管冲洗、注药,外耳道引流、吸引治疗;对照组常规应用抗生素溶液滴耳。随访3个月,观察两组疗效。结果:治疗组干耳率、细菌清除率高于对照组,复发率低于对照组(P均<0.05)。结论:鼻内窥镜下经咽鼓管冲洗治疗慢性单纯型化脓性中耳炎干耳率高,疗效确切。

Pharyngotympanic tube rinsing and administering under nasal endoscopy for chronic suppurative otitis media

Objective: To investigate the therapeutic effect of pharyngotympanic tube rinsing and administering under nasal endoscopy on chronic suppurative otitis media(simple type).Methods: Fifty-one cases of chronic suppurative otitis media(simple type) were randomly divided into studying and control groups.The studying group included 28 cases and was rinsed and administered by pharyngotympanic tube under nasal endoscopy,and this group was drained and drawn by external acoustic meatus as well.In contrast,23 cases in control group were only routinely treated with antibiotics.They were followed up for a period of three months.Results: The dry ear rate and bacterial clearance rate of the studying group were higher than those of the controlling one(P<0.05);the recurrence rate of the studying group was lower than that of the controlling one;their differences were significant(P<0.05).Conclusion: It is simple and effective to treat chronic suppurative otitis media(simple type) by pharyngotympanic tube rinsing and administering under nasal endoscopy.