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鼻内镜下咽鼓管置管治疗分泌性中耳炎
引用本文:许凤山,刘忠钰,王荣华,谢栋.鼻内镜下咽鼓管置管治疗分泌性中耳炎[J].中国耳鼻咽喉头颈外科,2007,14(8):458-459.
作者姓名:许凤山  刘忠钰  王荣华  谢栋
作者单位:解放军421中心医院耳鼻咽喉科,广东,广州,510318;解放军421中心医院耳鼻咽喉科,广东,广州,510318;解放军421中心医院耳鼻咽喉科,广东,广州,510318;解放军421中心医院耳鼻咽喉科,广东,广州,510318
摘    要:目的 探讨在鼻内镜视频下,自咽鼓管咽口插入胶管并留置治疗分泌性中耳炎的效果.方法 在鼻内镜视频系统下,经咽鼓管咽口插入鼓室腔,外侧端固定于面颊部,定期抽液,冲洗、注药,痊愈后观察10天拔管.结果 21耳均插管顺利,无不良反应.其中18耳一次插管治愈,占85.7%,3耳经2次插管治愈,占14.3%.总治愈率100%.结论 通过鼻咽部咽鼓管置管术,视野清晰,操作方便,治疗时间短,复发率低,无明显后遗症,是治疗分泌性中耳炎的理想选择.

关 键 词:内窥镜检查  咽鼓管  中耳炎  伴渗出液
收稿时间:2006-10-08
修稿时间:2006年10月8日

Therapeutic effect of eustachian catheteration under nasal endoscope on secretory otitis media
XU Fengshan,LIU Zhongyu,WANG Ronghua,XIE Dong.Therapeutic effect of eustachian catheteration under nasal endoscope on secretory otitis media[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2007,14(8):458-459.
Authors:XU Fengshan  LIU Zhongyu  WANG Ronghua  XIE Dong
Institution:Department of Otolaryngology, No.421 Hospital of PLA, Guangzhou, Guangdong, 510318, China
Abstract:OBJECTIVE To explore and assess the therapeutic effect of eustachian catheteration and intratympanic application of medicine through the eustachian tube on secretory otitis media. METHODS A catheter was inserted into the tympanum through the eustachian tube under nasal endoscope and medicine was injected through the catheter. It was pulled out 10 days after recovered. RESULTS This procedure was performed on 21 ears. Eighteen ears(85.7 %) were cured after catheteration once and the remaining 3 ears(14.3 %) were cured after catheteration twice. CONCLUSION Eustachian catheteration is a safe,easy and effective method to treatment of secretory otitis media.
Keywords:Endoscopy  Eustachian Tube  Otitis Media with Effusion
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