鼓膜置管治疗成人渗出性中耳炎的长期观察

目的探讨鼓膜置管术对成人渗出性中耳炎治疗的长期结果.方法总结分析1996年6月至1999年6月治疗的42例成人渗出性中耳炎患者.男24例,女18例,左耳17例,右耳19例,双耳6例,共计48耳;年龄20～70岁,平均37岁;病程1个月至1年.通气管常规置入加冲洗治疗,8个月内取管,随访4-8年.结果症状全部消失29例;耳鸣6例,伴听力下降4例;时有耳堵塞感发作5例;鼓室积液复发2耳.鼓膜正常者28耳,鼓膜瘢痕、钙化10耳,鼓膜内陷8耳,鼓膜变薄、松弛2耳,鼓膜穿孔2耳.结论成人渗出性中耳炎行鼓膜置管治疗的远期效果良好,其并发症及后期的鼓膜改变较儿童期少.

Tympanostomy tube insertion in adult:a long-term follow-up study

Objective To determine incidence and prevalence of middle ear sequelae in adult with chronic otitis media with effusion who received tympanostomy tube insertion. Methods The clinical data of 42 cases(48 ears) were analysed with a follow-up of 4-8 years. Results Tympanic membrane was normal in 28 ears. Tympanosclerosis, atelectasis and atrophy and persisting perforation were seen in 10 ears(20.8%), 8 ears(16.6%) and 2 ears(4.2%), respectively. No patients developed retraction pocket and cholesteatoma after tube insertion. Conclusion Tympanostomy tube insertion in adult with chronic otitis media with effusion had no significant long-term complications.