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目的：探讨腭帆张肌肌腱缩短术治疗中老年人咽鼓管功能性阻塞的疗效与方法。方法：对 ７ 例腭帆张肌肌腱缩短术患者的临床资料进行回顾性分析。结果：所有病例手术后１ 周症状消失，声导抗鼓室压曲线恢复到 Ａ 型，纯音测听气骨导间距消失，鼓膜形态恢复正常；随访１～３ 年无复发。结论：只要正确掌握手术适应证，腭帆张肌肌腱缩短术治疗中老年人咽鼓管功能性阻塞的效果是满意的。
Objective: To investigate the curative effect and the method of shortening of the tendon of the palatal and extensor muscle in the treatment of functional blockage of the eustachian tube in middle-aged and elderly people. Methods: A retrospective analysis was performed on the clinical data of 7 cases of palatal stenosis tendon shortening. Results: Symptoms disappeared one week after operation in all cases, and the acoustic conduction tympanic pressure curve was restored to type A, and the distance between pure tone audiometry and airway disappeared, the shape of tympanic membrane returned to normal. No recurrence was observed in 1 to 3 years follow-up. CONCLUSIONS: As long as the indications of surgical indications are correct, the effect of palatal-extensor tendon shortening on the functional occlusion of the Eustachian tube in the elderly is satisfactory.