论文部分内容阅读
目的 :了解鼻咽癌 (NPC)放疗后分泌性中耳炎 (SOM)咽鼓管功能 ,以及漂浮导管扩张咽鼓管治疗该病的临床价值。方法 :使用咽鼓管功能综合检查仪检测 2 1例 (37耳 )NPC放疗后SOM患者的咽鼓管功能 ;在鼻内镜直视下将漂浮导管导入咽鼓管内扩张咽鼓管 ,治疗NPC放疗后咽鼓管阻塞引起的SOM。结果 :2 1例NPC放疗后SOM中 ,咽鼓管功能为正常型 2耳 ,阻塞型 2 1耳 ,闭锁不全型 8耳 ,开放型 6耳。漂浮导管扩张咽鼓管治疗NPC放疗后SOM ,有效率为 4 3.2 % (16 / 37)。结论 :NPC放疗后SOM的咽鼓管功能障碍 ,多以阻塞型为主 ,应用漂浮导管扩张咽鼓管是一种有效的治疗方法
Objective: To investigate the eustachian tube function of secretory otitis media (SOM) after nasopharyngeal carcinoma (NPC) radiotherapy, and to evaluate the clinical value of floating eustachian tube in the treatment of this disease. Methods: The eustachian tube function of 21 patients (37 ears) with SOM after radiotherapy was detected by Eustachian tube comprehensive function test instrument. The floating eustachian tube was introduced into the eustachian tube under nasal endoscopy to expand the Eustachian tube to treat NPC Eustachian tube obstruction caused by radiotherapy SOM. Results: In 21 S NPCs, the eustachian tube function was normal 2 ears, obstructive 21 ears, incomplete obstruction 8 ears and open 6 ears. Floating catheter expansion Eustachs NPC after radiotherapy SOM, the effective rate was 42.2% (16/37). Conclusion: After the NPC radiotherapy SOM Eustachian tube dysfunction, mostly obstructive type, the use of floating catheter expansion Eustachian tube is an effective treatment