Abstract:Objective: To analyze the effect of eustachian tube balloon dilatation in children with secretory otitis media. Methods: 76 children with secretory otitis media admitted in our hospital from July 2015 to July 2016 were selected as objects. According to the order of admission, the patients were divided into observation group and control group. The control group received conservative treatment, the observation group using eustachian tube balloon dilatation. (ETA), tympanic membrane healing time, normal hearing time, duration of disappearance of tinnitus and nausea, and duration of effusion were compared between the two groups. Results: After treatment, the total effective rate of the observation group was significantly higher than that of the control group [89.47% (34/38) vs 65.79% (25/38)] (P <0.05). The PTA of the observation group was significantly lower than that of the control group [(20.04 ± 2.31) dB VS(25.38 ± 2.87) dB](P <0.05), and the ETS value was significantly higher than that of the control group[(20.14±2.31)points VS (13.27±1.26)points] (P <0.05). In the observation group, tympanic membrane healing, hearing recovery, the time of disappearance of tinnitus and the duration of effusion were shorter than those in the control group (P <0.05). Conclusion: Eustachian tube balloon dilatation is used in children with secretory otitis media, which the clinical curative effect is good.
卜阳,金新. 咽鼓管球囊扩张术在儿童分泌性中耳炎的应用效果分析[J]. 河北医学, 2017, 23(12): 1952-1955.
BU Yang, JIN Xin. The Effect of Eustachian Tube Balloon Dilatation in Children with Secretory Otitis Media. HeBei Med, 2017, 23(12): 1952-1955.
[1] 高永平,田从哲,刘会清,等.小儿腺样体肥大与分泌性中耳炎[J].中华耳科学杂志,2014,11(1):106~108. [2] 刘丹,吴曙辉,万浪,等.腺样体切除联合耳内镜下鼓膜置管或鼓膜穿刺治疗儿童分泌性中耳炎的疗效比较[J].中国微创外科杂志,2016,9(1):61~63,67. [3] 冯晓华,龙孝斌,汪建,等.鼓膜置管治疗难治性分泌性中耳炎鼓膜穿孔危险因素分析[J].听力学及言语疾病杂志,2014,12(1):56~59. [4] 张雪溪,陈敏,刘薇,等.应用咽鼓管球囊扩张治疗复发性分泌性中耳炎临床分析[J].中华耳科学杂志,2016,14(5):566~571. [5] 张鹏,周慧芳,许轶,等.咽鼓管球囊扩张术与鼓膜置管术治疗慢性分泌性中耳炎疗效比较[J].山东医药,2015,13(19):93~94. [6] 李清华,皇甫辉.腺样体肥大并分泌性中耳炎患儿的预后影响因素分析[J].听力学及言语疾病杂志,2015,5(1):85~87. [7] Bakshi SS. Outcome evaluation of clarithromycin, metronidazole and lansoprazole regimens in Helicobacter pylori positive or negative children with resistant otitis media with effusion[J].The Journal of Laryngology and Otology, 2016 ,130 (3 ):318. [8] Jotic A, Jesic S, Zivkovic M, et al. Polymorphisms in Toll-like receptors 2 and 4 genes and their expression in chronic suppurative otitis media[J].Auris, nasus, larynx, 2015 ,42 (6 ):431~437. [9] Cole LK, Samii VF, Wagner SO,et al. Diagnosis of primary secretory otitis media in the cavalier King Charles spaniel[J].Veterinary Dermatology, 2015, 26 (6 ):e459~e107. [10] Prince AA, Rosenfeld RM, Shin JJ. Antihistamine use for otitis media with effusion: ongoing opportunities for quality improvement[J].Otolaryngology-head and neck surgery : official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 2015, 153 (6 ):935~942. [11] 侯昭晖,李瑞香,吴南,等.咽鼓管球囊扩张术治疗顽固性分泌性中耳炎的疗效评价[J].中华耳科学杂志,2016,14(5):560~565. [12] 李永奇,陈愈彬,尹根蒂,等.咽鼓管球囊扩张术治疗慢性复发性分泌性中耳炎[J].中华耳科学杂志,2016,14(5):610~614. [13] 刘月红,庄惠文,吴旋,等.咽鼓管球囊扩张术治疗难治性分泌性中耳炎的策略和疗效分析[J].中华耳科学杂志,2016,14(5):591~595. [14] El-Anwar MW, Nofal AA, Khazbak AO, et al. The efficacy of nasal steroids in treatment of otitis media with effusion: a comparative study[J].International Archives of Otorhinolaryngology, 2015, 19 (4 ):298~301. [15] 何本超,徐必生,鄢勤文,等.咽鼓管球囊扩张术治疗难治性分泌性中耳炎的疗效分析[J].中国内镜杂志,2016,22(10):97~99.