双管置入治疗鼻咽癌放疗后分泌性中耳炎

Double tubes insertion for secretory otitis media in nasopharyngeal carcinoma patients after radiotherapy

目的探讨鼻咽癌放疗后分泌性中耳炎的治疗方法。方法将60例(88耳)患者随机分为单管组和双管组,每组30例(44耳)。单管组行常规鼓膜置管,双管组在置管引流的同时,在哑铃管上方置入直管(微)型预防插管,起通气作用。比较分析两组治疗效果及并发症。结果随访10个月,两组有效率、6个月内堵管发生率相比差异有统计学意义,并发症差异无统计学意义。结论治疗鼻咽癌放疗后伴发的分泌性中耳炎,双管置入鼓膜引流、通气优于单纯鼓膜置管引流。

Objective To discuss the clinical treatment for secretory otitis media（SOM） in nasopharyngeal carcinoma（NPC） patients after radiotherapy.Methods 60 NPC patients with SOM after radiotherapy were randomly divided into two groups： patients in the single tube group received singel tube insertion for water-spreading and patients in the double tubes group received double tube insertion for ventilation and water-spreading.The therapeutic effect and complications between the two groups were compared during a follow-up of ten months.Results After a 10 month follow-up,the effective rate was 56.8% and 77.3%（P0.05） and the complication rate was 47.4% and 20.5%（P0.05） in the single tube and double tube groups respectively.Conclusion For SOM in NPC patients after radiotherapy,the effect of double tube insertion is superior to that of single tube insertion.