中华耳科学杂志
中華耳科學雜誌
중화이과학잡지
CHINESE JOURNAL OF OTOLOGY
2009年
2期
132-134
,共3页
梁健刚%陈靖%黄郁林%张超%许庚%文卫平%李上奎%黎志辉%胡廷保%梁雯
樑健剛%陳靖%黃鬱林%張超%許庚%文衛平%李上奎%黎誌輝%鬍廷保%樑雯
량건강%진정%황욱림%장초%허경%문위평%리상규%려지휘%호정보%량문
内镜%鼓膜置管%盐酸氨溴索%鼻咽癌%放射治疗%分泌性中耳炎
內鏡%鼓膜置管%鹽痠氨溴索%鼻嚥癌%放射治療%分泌性中耳炎
내경%고막치관%염산안추색%비인암%방사치료%분비성중이염
Endoscope%Tympanic membrane indwelling catheter%Ambroxol hydrochloride%Nasopharyngeal carcinoma%Radiotherapy%Secretory otitis media
目的 观察耳内镜下鼓膜穿刺与鼓膜置管及局部应用氨溴索治疗鼻咽癌放疗后分泌性中耳炎的疗效.方法 对112例、145耳鼻咽癌放疗后分泌性中耳炎患者分别行耳内镜下鼓膜穿刺与鼓膜置管及盐酸氨溴索冲洗中耳腔的治疗对照观察.结果 A组(鼓膜置管+盐酸氨溴索冲洗中耳腔)52耳,治愈45耳(86.5%),好转5耳(9.6%),无效2耳,有效率为96.1%;B组(鼓膜置管)53耳,治愈32耳(60.3%),好转14耳(26.4%),无效7耳,有效率为86.7%;C组(鼓膜穿刺+盐酸氨溴索冲洗中耳腔)40耳,治愈20耳(50%),好转12耳(30%),无效8耳,有效率为80%.经Ridit分析,P<0.05,有显著性差异,A、B两组疗程经t检验,亦有显著性差异.结论 应用盐酸氨溴索冲洗中耳腔结合鼓膜置管治疗放疗后分泌性中耳炎有较好的疗效.
目的 觀察耳內鏡下鼓膜穿刺與鼓膜置管及跼部應用氨溴索治療鼻嚥癌放療後分泌性中耳炎的療效.方法 對112例、145耳鼻嚥癌放療後分泌性中耳炎患者分彆行耳內鏡下鼓膜穿刺與鼓膜置管及鹽痠氨溴索遲洗中耳腔的治療對照觀察.結果 A組(鼓膜置管+鹽痠氨溴索遲洗中耳腔)52耳,治愈45耳(86.5%),好轉5耳(9.6%),無效2耳,有效率為96.1%;B組(鼓膜置管)53耳,治愈32耳(60.3%),好轉14耳(26.4%),無效7耳,有效率為86.7%;C組(鼓膜穿刺+鹽痠氨溴索遲洗中耳腔)40耳,治愈20耳(50%),好轉12耳(30%),無效8耳,有效率為80%.經Ridit分析,P<0.05,有顯著性差異,A、B兩組療程經t檢驗,亦有顯著性差異.結論 應用鹽痠氨溴索遲洗中耳腔結閤鼓膜置管治療放療後分泌性中耳炎有較好的療效.
목적 관찰이내경하고막천자여고막치관급국부응용안추색치료비인암방료후분비성중이염적료효.방법 대112례、145이비인암방료후분비성중이염환자분별행이내경하고막천자여고막치관급염산안추색충세중이강적치료대조관찰.결과 A조(고막치관+염산안추색충세중이강)52이,치유45이(86.5%),호전5이(9.6%),무효2이,유효솔위96.1%;B조(고막치관)53이,치유32이(60.3%),호전14이(26.4%),무효7이,유효솔위86.7%;C조(고막천자+염산안추색충세중이강)40이,치유20이(50%),호전12이(30%),무효8이,유효솔위80%.경Ridit분석,P<0.05,유현저성차이,A、B량조료정경t검험,역유현저성차이.결론 응용염산안추색충세중이강결합고막치관치료방료후분비성중이염유교호적료효.
Objective To report the outcomes of myringocentesis and indwelling catheterization with ambroxol hydrochloride irrigation in treating secretory otitis media(SOM)in patients with nasopharyngeal carcinoma(NPC)after radiotherapy.Methods 112 cases(145 ears)of SOM in NPC after radiotherapy were treated.Results Of the 52 ears that received indwelling tympanic membrane catheter and ambroxol hydrochloride irrigation,complete SOM resolution was achieved in 45 ears(86.5%)and improvement in 5 ears(9.6%),resulting in an efficiency rate of 96.1%.In the 53 ears treated with indwelling tympanic membrane catheter only,there was complete resolution in 32 ears(60.3%)and improvement in14 ears(26.4%),with an efficiency rate of 86.7%.In the 40 ears receiving myringocentesis and one time Ambroxol hydrochloride irrigation,SOM resolved in 20 ears(50%)and improved in 12 ears(30%),yielding an efficiency rate of80%.The differences between different treatment outcomes was statistically significant.Conclusion Indwelling tympanic membrane catheterization combined with ambroxol hydrochloride irrigation proves to be effective in treating SOM in patients with NPC after radiotherapy.
