鼓膜置管术治疗放射性分泌性中耳炎的疗效及其并发症处理
Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery(2020)
Abstract
目的:评价鼓膜置管术治疗放射性分泌性中耳炎的疗效,分析并发症的原因及其防治方法.方法:回顾性分析实施鼓膜置管术治疗33例(55耳)放射性分泌性中耳炎患者的临床资料.结果:术后7d复诊,55耳语频听阈均有不同程度提高,平均提高20.79 dB;所有患者耳闷胀感消失,80%的患者耳鸣、头痛症状缓解.术后并发症发生率达67.3%(37/55),包括:通气管脱落11耳(20%),均再次置管;耳漏10耳(18.2%),用抗生素治疗后干耳;通气管阻塞9耳(16.4%),经5%碳酸氢钠滴耳剂治疗后再通;鼓膜内陷粘连4耳(7.3%),行咽鼓管吹张治疗好转;鼓膜穿孔2耳(3.6%),未予处理;通气管内侧移位1耳(1.8%),鼓室手术取出通气管.因并发症或取管后症状发作,行2次以上再置管术31耳(56.4%).结论:鼓膜置管术治疗放射性分泌性中耳炎,可以改善患者的听力和缓解耳部不适症状,但术后并发症较多,应积极防治,以提高治疗效果.
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Key words
complication,grommet insertion,head and neck neoplasms,otitis media, with effusion,radiotherapy
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