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《鼻炎引起的咽鼓管堵塞 -刘海龙-鼻内镜咽鼓管吹张术治疗慢性分泌性中耳炎的临床效果》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、鼻炎引起的咽鼓管堵塞-刘海龙-鼻内镜咽鼓管吹张术治疗慢性分泌性中耳炎的临床效果1.5P-3468字符-临床医学鼻内镜咽鼓管吹张术治疗慢性分泌性中耳炎的临床效果刘海龙1（辛集复明医院耳鼻喉科，河北辛集，052360）摘要：目的观察鼻内镜下导管法咽鼓管吹张及鼓室给药治疗慢性分泌性中耳炎的疗效。方法1050例慢性分泌性中耳炎患者在鼻内镜引导下行导管法咽鼓管吹张，并经导管吹入曲安奈德注射液2mL，1次/周，共3~4次，检查咽鼓管功能及鼓膜形态，检测听力，评估耳鸣及耳闭塞感变化。结果所有患者耳闭塞感、耳鸣、自声增强症状明显改善，鼓膜内陷及咽鼓管功能状态明显缓解。纯音听阈下降10~30dB37
2、例，下降10~15dB10例，无变化3例；耳闭塞感消失33例，减轻14例，无效3例；耳鸣消失28例，明显减轻19例，无效3例。结论在鼻内镜引导下，直接导管法咽鼓管吹张，并经咽鼓管途径鼓室给药治疗慢性分泌性中耳炎，能明显改善患者症状，疗效好，临床值得推广。关键词：分泌性中耳炎；鼻内镜；曲安奈德；鼓室给药中图分类号：R764.2文献标志码：A文章编号：2096-1413(2017)08-0049-02Theclinicaleffectofendoscopiceustachiantubeforthetreatmentofchronicsecretoryotitismedia10LIUHa
3、ilong(DepartmentofENT,XinjiFumingHospital,Xinji052360,China)ABSTRACT:objectiveToobservethetherapeuticeffectofendoscopiceustachiancatheterizationandintratympanicadministrationforthetreatmentofchronicsecretoryotitismedia.MethodsFiftycasesofpatientswithchronicsecretoryotitismediaweretreatedwithna
4、salendoscopyguidedeustachiancatheterization,and2mLoftriamcinoloneacetonidewereinjectedintothecatheter,with1timesperweek,atotalof3~4.Thefunctionofeustachiantubeandtympanicmembranemorphology,detectionofhearing,evaluationoftinnitusandearfullnesschangeswerechecked.ResultsAllthepatientswithearfulln
5、ess,tinnitus,autophonysymptomswereimproved,作者简介：刘海龙（1982-），男，汉族，河北承德人，主治医师。研究方向：耳鼻咽喉头颈外科及过敏性疾病。andotopiesisandthefunctionofeustachiantubewererelieved.Puretoneaudiometrywhichdecreased10~30dB10were37cases,decreased10~15dBwere10cases,and3caseshadnochange.Therewere33casesofearocclusionfeelingdisap
6、peared,whichwerealleviatedin14casesandineffectivein3cases.Therewere28casesoftinnitusdisappeared,whichweresignificantlyreducedin19casesandineffectivein3cases.ConclusionIntheendoscopiceustachiantubecatheterwithdirectblowing,andviaeustachiantubeintratympanictreatmentofchronicsecretoryotitismedia,
7、cansignificantlyimprovetheclinicalsymptomsofpatients,whichhasthecurativeeffect.Itisworthyofpromotion.KEYWORDS:secretoryotitismedia;nasalendoscope;triamcinoloneacetonide;intratympanicadministration慢性分泌性中耳炎是耳鼻喉科门诊的常见病、多发病。若症状反复发作，咽鼓管功能不良则
