正负压疗法治疗分泌性中耳炎246例的临床疗效分析

Clinical Analysis of Negative Pressure Therapy Secretary Otitis Media 246 Cases of Curative Effect

目的：观察用鼓膜穿刺、鼓室正压注药、负压吸引的方法治疗分泌性中耳炎的疗效。方法：总结分析2005-01~2010-12收治的分泌性中耳炎246例（292耳）采取鼓膜穿刺抽液、高负压吸引、鼓室正压注药为主要治疗方法的病例。结果：246例分泌性中耳炎经1~3次治疗治愈率95.5%,46例胶耳经本法一次治愈39例（84.8%）。结论：在清除病灶的基础上,用鼓膜穿刺、鼓室正压注药、负压吸引的方法是治疗分泌性中耳炎的一种有效方法。

Objective：Observing the curative effect of using treatment methods such as tympanic membrane puncture,positive pressure infusion in tympanic cavity and negative pressure suction for secretary otitis media.Methods：Summarizing and analyzing246cases（292ears）of secretary otitis media that were treated in between January1998and December2003in our section office by methods such as puncture and fluid-pull out of tympanic membrane,highly nega-tive pressure suction and positive pressure infusion in tympanic cavity.Results：The cure rate was95.5%out of the total246cases under the treatment of one to three times;39cases of glue ear were cured once of this treatment,which worked out a percentage of84.8out of46.Conclusions：On the basis of eliminating focus,tympanic membrane puncture,positive pressure infusion in tympanic cavity and negative pressure suction are effective therapies for secretary otitis media,and therefore is worth for clinically generalizing.