咽鼓管置管治疗鼻咽癌放疗后并发分泌性中耳炎的临床效果观察.docVIP

咽鼓管置管治疗鼻咽癌放疗后并发分泌性中耳炎的临床效果观察 　　[摘要] 目的 探究鼻咽癌放疗后并发分泌性中耳炎患者在常规治疗基础上联合咽鼓管置管方案的具体操作和临床治疗效果。 方法 随机抽取2010年1月～2014年1月本院收治的鼻咽癌放疗后并发分泌性中耳炎患者80例，根据治疗方案将其分为对照组与观察组，对照组患者接受常规方法治疗，观察组患者在对照组治疗基础上联合应用咽鼓管置管方案，每组40例。两组患者均接受治疗3个月，对比两组患者临床治疗效果及并发症情况。 结果 观察组患者临床治疗总有效率高于对照组，差异有统计学意义（P0.05）；观察组患者并发症发生率为17.5%，显著低于对照组的52.5%，差异有统计学意义（P0.05）。 结论 鼻咽癌患者接受放疗后常并发分泌性中耳炎，对鼻咽癌治疗造成严重影响，降低患者生活质量及治疗依从性，在传统治疗基础上联合咽鼓管置管方案能显著提高并发分泌性中耳炎的临床治疗效果，具有高效、安全的优点，值得临床推广。 　　[关键词] 咽鼓管置管；鼻咽癌；分泌性中耳炎；治疗 　　[中图分类号] R764.21 [文献标识码] A [文章编号] 1674-4721（2015）09（b）-0108-03 　　Observation on clinical effect of salpingocatheterism treating secretory otitis media after radiotherapy of nasopharyngeal carcinoma 　　TENG Hai-bo 　　Department of Otorhinolaryngology，People′s Hospital of Wuyuan County in Jiangxi Province，Wuyuan 333200，China 　　[Abstract] Objective To research the operation and clinical treatment effect of salpingocatheterism in the treatment of secretory otitis media after radiotherapy of nasopharyngeal carcinoma based on conventional treatment. Methods 80 cases with secretory otitis media after radiotherapy of nasopharyngeal carcinoma treated in our hospital from January 2010 to January 2014 were selected and divided into control group and observation group according to the difference of treatment scheme.The control group received conventional treatment，based on which the observation group was treated with salpingocatheterism，each group for 40 cases.After treating for 3 months，the clinical treatment effect and complications between two groups were compared. Results The total clinical treatment effective rate of observation group was evidently better than that of control group，which had statistical significance（P0.05）.The probability rate of the complications in observation group was 17.5%，lower than 52.5% in control group，which had statistical significance（P0.05）. Conclusion It is common that there is the complication of secretory otitis media after radiotherapy，which has severe influence on the treatment of na