两种咽鼓管咽口形态分型

Morphological Classification of Two Eustachian Tubes

目的:本研究以两种咽鼓管展开研究,对其形态分型差异进行分析。方法:以2018年8月-2020年8月作为研究时间范围,对本科门诊和住院的疑是分泌性中耳炎患者,常规行纯音测听、声阻抗、声反射、耳声发射、听性脑干诱发电位、电子鼻咽喉镜检查,以及病史及临床症状采集。确诊分泌性中耳炎(SOM)为观察组,200例,非分泌性中耳炎为对照组,200例,观察两组咽鼓管咽口形态分型对比。结果:对比咽鼓管咽口形态分型,在椭圆形、喇叭形中,两组差异无统计学意义(P>0.05)。在三角形、缝隙形中,两组差异有统计学意义(P<0.05)。结论:成年患者SOM咽鼓管咽口主要呈现三角形、缝隙形。

Objective:To study two types of eustachian tubes,the difference of morphological classification was analyzed.Method:From August 2018 to August 2020,patients with suspected secretory otitis media checked by routine examination of pure audiometry,acoustic impedance,acoustic reflex,otoacoustic emission,auditory brainstem evoked potential,nose laryngoscope,and history and clinical symptoms.A total of 200 cases with secretory otitis media (SOM) were selected as the observation group,200 cases with non-secretory otitis media were selected as the control group.The morphological classification of eustachian tube was compared between the two groups.Result:In pharyngeal morphology of eustachian tube,the oval shape,horn shape between the two groups were no significant differences (P>0.05),triangles,crevices,between the two groups were significant differences (P<0.05).Conclusion:The pharyngeal orifice of SOM eustachian tube is mainly triangular and crevice-shaped in adult patients.