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目的探讨鼓膜切开冲洗鼓室早期治疗鼻咽癌放疗后分泌性中耳炎的临床疗效。方法回顾分析50例(87耳)鼻咽癌放疗后分泌性中耳炎初次治疗的患者,随机分为两组,A组25例(45耳)采用耳内窥镜下鼓膜切开冲洗鼓室,B组25例(42耳)采用耳内窥镜下鼓膜穿刺冲洗鼓室。结果 A组45耳治愈24耳,好转15耳,B组42耳治愈18耳,好转10耳,两组有效率比较,P<0.05,差异有统计学意义;A组无效6耳中2耳出现化脓性中耳炎,1耳鼓膜穿孔,B组无效14耳中1耳出现化脓性中耳炎,两组并发症发生率比较,P>0.05,差异无统计学意义。结论鼓膜切开冲洗鼓室早期治疗鼻咽癌放疗后分泌性中耳炎的临床疗效好,且操作简单,患者容易接受,是一种有效、安全的治疗方法 。
Objective To investigate the clinical effect of tympanotomy for the treatment of secretory otitis media with nasopharyngeal carcinoma after radiotherapy. Methods Fifty patients (87 ears) with nasopharyngeal secretory otitis media after radiotherapy were retrospectively analyzed. They were randomly divided into two groups. A group (n = 25) (45 ears) underwent endoscopic tympanotomy for tympanic membrane incision and group B Twenty-five cases (42 ears) underwent tympanostomy with ear endoscopy. Results A group of 45 ear cured 24 ears, improved 15 ears, B group 42 ears cured 18 ears, improved 10 ears, the two groups were compared, P <0.05, the difference was statistically significant; Suppurative otitis media, 1 ear tympanic membrane perforation, group B invalid 14 ears 1 suppurative otitis media, the incidence of complications between the two groups, P> 0.05, the difference was not statistically significant. Conclusion The tympanic membrane incision and flushing the tympanum early treatment of nasopharyngeal carcinoma after otitis media with secretory otitis media clinical efficacy, and simple, easy to accept patients is an effective and safe treatment.