论文部分内容阅读
作者们观察分泌性中耳炎50例,其中小儿(3～12岁)26例,成人(13～59岁)18例,老年(60岁以上)6例。均经病史、鼓膜外观及鼓室压图确诊。观察方法系经鼻腔插入内窥镜观察咽鼓管咽口并照像。小儿用外径1.7mm的斜视型针状镜,前方斜视16度,视野角75度。成人及老年用外径4.5mm的纤维内窥镜。结果:小儿26例中有88%咽鼓管咽口发现狭窄,均系肥大的腺样体越过咽隐窝挤压咽鼓管隆凸而间接导致咽鼓管咽口狭窄。26例中只有2例咽鼓管咽口后唇可见淋巴组织增生,但此2例咽鼓管咽口闭塞的主要原因仍为腺样体肥大。咽鼓管导管通气法,31耳中21耳(68%)示通气度良
The authors observed 50 cases of secretory otitis media, including 26 children (3 to 12 years old), 18 adults (aged 13 to 59) and 6 elderly (aged 60 years and older). Are history, tympanic membrane appearance and tympanogram confirmed. Observe the method of nasal endoscopic observation of eustachian tube pharynx port and photo. Children with a diameter of 1.7mm strabismus-type acupuncture mirror, squint in front of 16 degrees, viewing angle of 75 degrees. Adult and elderly with a diameter of 4.5mm fiber endoscope. Results: Twenty-six children in eustachian tube were found to have stenosis in 88% of the cases, all of which were hypertrophy of adenoid extruding eustachian tube hyperplasia through pharyngeal recess and indirectly leading to eustachian tube stenosis. Only 2 cases of 26 cases of eustachian tube pharyngeal lip lymph node hyperplasia, but the two main reasons for eustachian tube pharyngeal occlusion is still adenoid hypertrophy. Eustachian tube catheter ventilation, 31 ears 21 ears (68%) showed good ventilation