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目的 :研究成人咽鼓管咽口形态改变与分泌性中耳炎 (SOM )之间的相关性。方法 :对 77例 (115耳 )正常人 (对照组 )和 6 8例 (97耳 )SOM患者 (SOM组 )用鼻内镜观察其咽鼓管咽口的形态 ,将其分为三角形、缝隙形、椭圆形、喇叭形等 4种类型并行统计学分析。结果 :对照组三角形 84侧 ,缝隙形 4侧 ,喇叭形 17侧 ,椭圆形 10侧 ;SOM组三角形 13侧 ,缝隙形 6 8侧 ,椭圆形 5侧 ,喇叭形 11侧 ,两组咽鼓管咽口形态存在显著的差异。结论 :咽鼓管咽口形态改变在SOM的发生、发展中有着不可忽视的相关性 ,为探索成人SOM的治疗提供了一个新的思路。
Objective: To study the correlation between the morphological changes of pharyngeal eustachian tube in adult and secretory otitis media (SOM). Methods: The morphology of pharyngeal orifice of eustachian tubes was observed with endoscopic examination in 77 cases (115 ears) normal people (control group) and 68 cases (97 ears) SOM patients (SOM group), which were divided into triangle, Shape, oval, trumpet and other four types of parallel statistical analysis. Results: In the control group, 84 sides of the triangle, 4 sides of the slit, 17 sides of the trumpet and 10 sides of the oval; the 13 sides of the SOM group, 6 sides of the slit, 5 sides of the ellipse, 11 sides of the trumpet, There are significant differences in pharyngeal orifice morphology. Conclusion: Eustachian tube pharyngeal orifice morphological changes in the occurrence and development of SOM can not be ignored, providing a new idea for exploring the treatment of adult SOM.