内镜检查在分泌性中耳炎的临床应用

Clinical Application of Endoscope Examination in Otitis Media with Effusion

目的通过内镜观察分泌性中耳炎患者咽鼓管咽口及其周围的形态改变,探讨分泌性中耳炎与咽鼓管咽口状态的相关性及其临床意义。方法用内镜对分泌性中耳炎的患者和成人对照组的鼻咽部进行观察。结果儿童患者组:咽鼓管咽口有黏脓性分泌物阻塞占52%,腺样体肥大阻塞占28%。咽鼓管咽口水肿占14%,咽鼓管扁桃体肥大占6%;成人患者组:咽鼓管咽口无明显变化占43.5%,咽鼓管咽口水肿占24.2%,咽鼓管咽口有黏脓性分泌物阻塞占19.3%,咽鼓管咽口萎缩占4.8%,肿瘤压迫咽鼓管咽口占4.8%,腺样体肥大阻塞咽鼓管咽口占3.2%;成人对照组:咽鼓管咽口正常占91.6%,咽鼓管咽口萎缩占5%,咽鼓管咽口水肿占3.3%。结论应用内镜检查鼻咽部可以指导临床治疗,对分泌性中耳炎患者常规行内镜检查十分必要。

Objective To observe pharyngeal orifice of eustachian tube in otitis media with effusion(OME)by using endoscope examination and assess its etiology and clinical therapy. Methods To observe the nasopharynx of OME patients and normal adults by using endoscope. Results In children with OME,52% of them had blockage of the orifice by mucopurulent nasal discharge,28% had compression of the orifice by the adenoid tissue,14% had edema around the orifice and 6% had hypertrophy of the peritubal tonsil. In adults with...