成人分泌性中耳炎的疗效分析与观察

Analysis and observation on curative efficacy of adult secretory otitis media

目的探讨成人分泌性中耳炎的治疗方法及疗效。方法西安交通大学第一附属医院收治的2014-01~2017-01的34例成人分泌性中耳炎,32例患者采用鼓膜置管术治疗,2例采用咽鼓管球囊扩张术。结果 32例行鼓膜置管术患者,其中2例术后6个月拔管后再次复发,予以再次置管。2例行咽鼓管球囊扩张术的患者术后恢复良好,未出现复发情况。结论分泌性中耳炎病因复杂,个体发病原因不同,应根据患者的具体发病因素采取不同的治疗方法。

Objective To investigate the treatment and its curative efficacy for adult secretory otitis media. Methods From January 2014 to January 2017,34 cases of adult secretory otitis media were enrolled in the First Affiliated Hospital of Xi＇an Jiaotong University. Totally 32 cases were treated with myringotomy tube insertion,and 2 cases were treated with eustachian tube balloon dilation. Results Of 32 patients treated with grommet insertion,30 patients were cured,and 2 patients relapsed at 6 month after tube drawing and then were retreated with myringotomy tube insertion. Two patients treated with eustachian tube balloon dilation were cured. Conclusion The cause of secretory otitis media is complicated and different for every patient. Different treatment method should be adopted according to the specific pathogenic factors of the patients.