咽鼓管球囊扩张术联合鼓膜切开置管术治疗慢性复发性分泌性中耳炎临床观察

目的 探讨咽鼓管球囊扩张术联合鼓膜切开置管术治疗慢性复发性分泌性中耳炎近远期疗效及患者满意度.方法 选择2013年1月-2015年3月收治的53例(91耳)慢性复发性分泌性中耳炎,按手术方法分为观察组27例(46耳)和对照组26例(45耳).对照组给予鼓膜切开置管术治疗,观察组在对照组基础上给予咽鼓管球囊扩张术治疗.分析2组近远期疗效及满意度.结果 观察组术后1、6、12个月咽鼓管功能障碍评分问卷(ETDQ-7)评分和并发症发生率低于对照组,总满意率高于对照组(P＜0.05).结论 咽鼓管球囊扩张术联合鼓膜切开置管术治疗慢性复发性分泌性中耳炎效果较好,能促进患者咽鼓管功能快速恢复.

Clinical Observation of Eustachian Tube Balloon Dilation Combined with Tympanotomy in Treatment of Patients with Chronic Recurrent Secretory Otitis Media

Objective To investigate the short-term and long-term efficacy and patients'satisfaction of eustachian tube balloon dilatation combined with tympanostomy in treatment of patients with chronic recurrent secretory otitis media.Methods A total of 53 patients (91 ears) with chronic recurrent secretory otitis media admitted during January 2013 and March 2015 were divided to observation group (n =27,46 ears) and control group (n =26,45 ears) according to surgical method.Control group was treated with tympanostomy,while observation group was treated with eustachian tube balloon dilatation on the basis of the treatment for control group.The short-term and long-term efficacy and degrees of patients'satisfaction were analyzed in two groups.Results In observation group,in the 1st,6th and 12th months after surgery,values of eustachian tube dysfunction questionnaires-7 (ETDQ-7) scores and incidence rates of complication were significantly lower,while the total satisfaction degree was significantly higher than those in control group (P ＜ 0.05).Conclusion Eustachian tube balloon dilatation combined with tympanostomy in treatment of patients with chronic recurrent secretory otitis media can achieve good efficacy and promote quick recovery of eustachian tube function.