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目的鼻咽癌放疗后分泌性中耳炎是耳科临床上最常见的并发症,易导致耳闷胀痛、耳鸣、听力下降、头昏头痛,症状易反复,严重者影响正常生活质量,目前治疗方法较多,临床疗效欠佳,为了更有效更好地治疗分泌性中耳炎,总结选用最有效的治疗方法。方法近5年来对123例鼻咽癌放疗后分泌性中耳炎患者选用鼓膜穿刺欧压法鼓室中耳加压给药治疗,其中男性87例、女性36例;双耳105例、单耳18例;欧压法外加压使药物将鼓室及乳突气房咽鼓管内分泌物置换冲冼出来,特别是粘稠胶冻样分泌物。结果患者自觉症状消失,听力提高,经5～15次治疗后鼓室穿刺抽吸无渗出液,穿刺点愈合。查电测听气骨导在20～30 dB内,声阻抗为A型曲线图,临床观察3～6个月无复发者为痊愈。结论通过欧压法外加压使药物将鼓室及乳突气房咽鼓管内分泌置换清除干净,并使药物直接作用于鼓室及乳突气房咽鼓管病变黏膜上皮组织使其恢复正常生理功能。
Objective Secretory otitis media is the most common complication of otology after ototoxicity in nasopharyngeal carcinoma. It may lead to ear pain, tinnitus, hearing loss, dizziness and headache. The symptoms are easy to be repeated. In severe cases, the quality of life is affected. The current treatment More, poor clinical efficacy, in order to more effective and better treatment of secretory otitis media, summed up the selection of the most effective treatment. Methods In the past 5 years, 123 patients with secretory otitis media with radiotherapy of nasopharyngeal carcinoma underwent tympanic membrane tympanic stimulation in the middle ear with pressure, including 87 males and 36 females; 105 ears and 18 ears; Pressurized European pressure to the drug tympanic cavity and mastoid gas eustachian tube secretion replacement flushing Xian, especially viscous jelly-like secretions. Results patients symptoms disappeared, hearing improvement, after 5 to 15 times the treatment of tympanic puncture suction no exudate, puncture point healing. Check the power to detect air-conduction in 20 ~ 30 dB, the acoustic impedance curve for the A-type, clinical observation of 3 to 6 months without recurrence were cured. Conclusions Overexpressure can make the drug clean the eustachian tube endocrine system in the tympanic cavity and mastoid atria, and make the drug act directly on the mucosa epithelium in tympanic cavity and mastoid eardrum to make it return to normal physiological function .