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目的:通过主观和客观指标回顾总结中国人应用咽鼓管球囊导管扩张术治疗咽鼓管功能障碍的疗效,探讨相关治疗经验。方法:对58例(84耳)咽鼓管功能障碍患者在全麻下行咽鼓管球囊导管扩张术,术后通过耳内镜检查、阻抗、Valsalva检查、TMM、ETDQ-7评分等主、客观方法评估手术效果。结果:术前患耳阻抗均为B型或C型,术后A型阻抗逐渐增多,术后12月有效率为84.5%(71/84),术后18月有效率为83.3%(70/84)。结论:球囊扩张术是治疗咽鼓管功能障碍的有效手段,具有安全、有效、无创、简便等特点。
OBJECTIVE: To review and summarize the curative effect of Eustachian tube balloon catheter dilatation on eustachian tube dysfunction by subjective and objective indicators, and to explore related treatment experience. Methods: 58 patients (84 ears) with eustachian tube dysfunction underwent eustachian tube balloon catheterization under general anesthesia. The patients underwent endoscopy, impedance, Valsalva examination, TMM, ETDQ-7 score, Objective assessment of surgical effects. Results: The preoperative impedance of the ear was either type B or type C. The type A impedance gradually increased after operation, the effective rate was 84.5% (71/84) in December and 83.3% (70 / 84). Conclusion: Balloon dilatation is an effective method to treat eustachian tube dysfunction. It is safe, effective, noninvasive and simple.