鼻内镜下咽鼓管置管术治疗分泌性中耳炎

目的探索有效治疗分泌性中耳炎的方法。方法将分泌性中耳炎患者63例（78耳）随机分成两组：实验组：在鼻内镜下，对31例（38耳）分泌性中耳炎患者行咽鼓管置管术，留管并反复注药治疗；对照组：对32例（40耳）患者使用传统的鼓膜切开置管术治疗，术后随访6～9个月，比较两组疗效。结果实验组治愈16耳，占42．1％，好转18耳，占47．4％，总有效率89．5％：对照组：治愈8耳，占20．0％，好转21耳，占52.5％，总有效率72．5％。治疗后两组差异有显著性（P〈0．05）。结论在鼻内镜下行咽鼓管置管术是在直视下操作，通过咽鼓管的自然通道插入导管，不仅避免了损伤鼓膜，也避免了咽鼓管吹张的重复操作，为临床治疗分泌性中耳炎提供了一个良好途径。

Treatment of secretory otitis media with eustachian tube insertion under nasal endoscope

OBJECTIVE To investigate the effective treatment for secretory otitis media. METHODS 63 patients (78 ears)with secretory otitis media were randomly devided into two groups: The experimental group :Thirty-one patients (38 ears) were treated by eustachian tube insertion under nasal endoscope. Drugs were injected repeatedly through the pipe. The control group: 32 patients (40 ears) were treated by traditional method: the tympanic cavity pressure equalization tube. All patients were followed up for 6-9 months, the effectiveness was compared.RESULTS The experimental group: 16 ears (42.1 %) were cured, 18 ears (47.4 %) were straightened up, The total efficiency rate was 89.5 %. The control group: 8 ears (20.0 %) were cured, 21 ears (52.5 %) were straightened up, The total efficiency rate was 72.5 %. There were significant difference between the two groups after treatment (P<0.05).CONCLUSION Eustachian tube insertion under nasal endoscope is a good way for treating secretory otitis media with the advantages of direct vision,avoiding damage to the tympanic membrane and avoiding repeated inflation of eustachian tube.