CAJ | 학술논문

目的探讨预防性鼓室置管对分泌性中耳炎患者的疗效。方法选取76例分泌性中耳炎患者，随机分为试验组和对照组，各38例。试验组行鼓室置管术，对照组行鼓膜穿刺或鼓膜切开术，两周后比较疗效。随访2年，比较复发率。结果术后两周比较，试验组有30例治愈，其他均好转，有效率100％，但术后第3天出现2例患者通气管脱落，行保守治疗，未进行再次置管手术；对照组治愈25例，好转7例，无效6例，有效率为84．21％。随访期间，试验组复发3例，复发率7．89％，对照组复发15例，复发率26．32％。结论预防性鼓室置管能降低分泌性中耳炎的复发率，但对短期疗效优势不明显。
목적탐토예방성고실치관대분비성중이염환자적료효。방법선취76례분비성중이염환자，수궤분위시험조화대조조，각38례。시험조행고실치관술，대조조행고막천자혹고막절개술，량주후비교료효。수방2년，비교복발솔。결과술후량주비교，시험조유30례치유，기타균호전，유효솔100％，단술후제3천출현2례환자통기관탈락，행보수치료，미진행재차치관수술；대조조치유25례，호전7례，무효6례，유효솔위84．21％。수방기간，시험조복발3례，복발솔7．89％，대조조복발15례，복발솔26．32％。결론예방성고실치관능강저분비성중이염적복발솔，단대단기료효우세불명현。
Objective To investigate the effects of prophylactic tympanostomy tubes on patients with secretory otitis media (SOM ) .Methods 76 patients with SOM were randomly divided into test group and control group ,38 cases for each group .Tympanic cavity tubing technique was performed in test group ,and tympanic membrane punc-ture or incision of tympanic membrane was performed in control group .Therapeutic effects were compared between the two groups after 2 weeks of treatment ,and the recurrence rates were compared after follow-up of 2 years .Results The effective rate was 100 .00% (38/38) in test group ,including 30 cases cured and 8 cases improved .Two cases were with ventilation tubes shedding at the 3rd day of treatment and treated only with expectant treatment .The ef-fective rate was 84 .21% (32/38) in control group ,including 25 cases cured ,7 cases improved and 6 cases ineffec-tive .During follow-up ,the recurrence rates of test group and control group were 7 .89% (3/38) and 39 .47% (15/38) .Conclusion Prophylactic tympanic tube could reduce the recurrence of SOM ,but might be without obvious short-term advantage .