鼓膜置管治疗分泌性中耳炎效果观察

Effect of tympanostomy tube insertion on secretory otitis media

目的探讨鼓膜置管治疗分泌性中耳炎的疗效和并发症的干预措施。方法回顾性分析238例分泌性中耳炎行鼓膜置管术治疗患者的临床资料,分析其治疗方法、疗效及并发症。结果本组鼓膜置管治疗有效率96.22%,9例无效者与鼓膜菲薄、带管期间上呼吸道感染、过度内陷致脱管和并发症发生等有关;本组发生并发症38例,主要为耳漏、鼓室硬化、留置管脱出、鼓室肉芽形成、鼓膜萎缩和鼓膜永久性穿孔,34例经有效处置好转或治愈。结论鼓膜置管治疗中耳炎操作简单、安全可靠,术后出现耳漏、鼓室硬化等并发症应注意及时、有效的处理。

Objective To explore the effect of tympanostomy tube insertion for secretory otitis media and the measures for complications. Methods A total of 238 cases of secretory otitis media treated with tympanostomy tube insertion were retrospectively analyzed the therapeutic method, curative effect and complications. Results The total effective rate was 96.22%. No case was valid due to tympanic membrane thinning, upper respiratory tract infection during tube insertion treatment, tube removal caused by excessive invagination and other complications. Complications occurred in 38 cases, mainly including otorrhea, tympanoselerosis, removal of indwelling tube, tympanum granulation formation, tympanum shrinking and permanent tympanum perforation, in which 34 cases were improved or cured. Conclusion Tympanostomy tube insertion is simple and effective for secretory otitis media. The postoperative complications as otorrhea and tympanosclerosis should be treated timely and effectively.