逆行咽鼓管插管盐酸氨溴索注药治疗分泌性中耳炎

目的 探讨咽鼓管逆行插管行鼓室冲洗,盐酸氨溴索注药治疗分泌性中耳炎的临床疗效.方法 对112例(178耳)分泌性中耳炎患者采用逆行经咽鼓管插管,37℃生理盐水鼓室冲洗、盐酸氨溴索鼓室注药并留置.观察耳闷、耳鸣症状,鼓膜像,语频区听力恢复情况及与病程的关系.结果 全部病例178耳经1～3次治疗后,治愈119耳(66.9%),有效30耳(16.9%),无效29耳(16.3%),治愈率66.9%,总有效率83.7%.病史小于半年者,治愈率明显高于病史大于半年者,随着治疗次数的增加,治愈率和有效率逐渐降低.结论 逆行咽鼓管插管行鼓室冲洗,盐酸氨溴索注药是治疗分泌性中耳炎安全有效的方法.

Retrograde catheteration via eustachian tube and ambroxol hydrochloride injection for secretory otitis media

OBJECTIVE To explore the effect of retrograde catheteration via eustachian tube and ambroxol hydrochloride injection on secretory otitis media (SOM). METHODS A total of 112 cases (178 ears) with SOM were involved in this study. The ear muffled,tinnitus,eardrum,hearing loss in different frequencies were observed in different period of treatment. RESULTS After one to three times treatment,119 of 178 ears were cured (66.9 %),30 ears improved (16.9 %) and no effects observed in 29 ears (16.3 %). The cure rate was 66.9% and the overall effective rate was 83.7 %. Cure rates were higher in the ears with course of the disease less than half a year. Cure rates and overall effective rates decreased after repeated treatment. CONCLUSION Retrograde catheteration via eustachian tube combined with tympanic cavity irrigation and Ambroxol Hydrochloride injection is an effective method for SOM.