CAJ | 학술논문

目的：探讨咽鼓管置管术在各种鼓室成形术中的应用及疗效。方法：对按不同方式进行听骨链重建、鼓室成形术的71耳患者术中同时行咽鼓管置管术。结果：除5例继发鼓膜穿孔、术后流脓外，余均一次手术成功，未见再穿孔。手术失败与不同病种、不同术式间的差异无显著性意义。结论：咽鼓管置管术对防止咽鼓管再粘连有效。
목적：탐토인고관치관술재각충고실성형술중적응용급료효。방법：대안불동방식진행은골련중건、고실성형술적71이환자술중동시행인고관치관술。결과：제5례계발고막천공、술후류농외，여균일차수술성공，미견재천공。수술실패여불동병충、불동술식간적차이무현저성의의。결론：인고관치관술대방지인고관재점련유효。
Objective:The therapeutical effects of salpingocatheterism and the states of tubal function were studied after different middle ear operations and within different middle ear pathological changes.Method:Total 71 patients with tubal occlusion, 18 of myringoplasty, 20 of reconstruction of ossicolar chain followed tympanoplasty, 14 of combined approach tympanoplasty, 10 of radical mastoidectomy followed tympanoplasty, 9 of re-radical mastoidectomy followed tympanoplasty were implemented salpingocatheterism. The patients were followed up for evaluation of the postoperative therapeutical effects and the state of tubal function. Result:The causes of operation failure in different middle ear operations or different middle ear pathological changes had no significantly difference. The major cause for postoperative tympanic membrane perforation and tubal occlusion was the pathogenic damage being not cleared up thoroughly and/or there being nasal cavity or pharyngeal cavity pathogenic changes accompanied.Conclusion:Salpingocatheterism is effective for preventing eustachian tube postoperative adhesion.