９５例分泌性中耳炎合并中耳腔积液治疗体会.docVIP

９５例分泌性中耳炎合并中耳腔积液治疗体会 　　【摘要】目的：探讨不同方法对慢性分泌性中耳炎(SOM)合并中耳腔积液的治疗效果。方法：选择本院收治的95名SOM患者（125耳），随机分为A组（单纯鼓室穿刺术组）与B组（鼓室穿刺术+药物清洗组），分别采取单纯鼓室穿刺术与鼓室穿刺术联合药物清洗鼓室的方法，观察临床疗效。结果：A组60耳中显效12耳，显效率为20%，好转32耳，占53.33%，总有效率73.33%，无效16耳,占26.67%；B组65耳中显效44耳，显效率为67.69%，好转15耳，占23.08%，总有效率90.77%，无效6耳,占9.23%。结论：患病早期采用鼓室穿刺术联合药物清洗治疗，取得良好的临床疗效，优于单纯的鼓室穿刺术，临床效果肯定。 　　【关键词】分泌性中耳炎；耳腔积液；鼓室穿刺术 　　 　　95 cases of secretory otitis media the middle ear effusion of combined treatment 　　LIUXia?ァ?Abstract】Objective: To explore the different methods of chronic secretory otitis media (SOM) of the combined treatment of middle ear effusion results. Methods: The hospital treated 95 SOM patients (125 ears), were randomly divided into A group (simple tympanic puncture group) and B (middle ear puncture Cleaning + drug group), were taken by a simple middle ear and tympanic puncture puncture drug combined with the tympanum cleaning methods, observation of clinical efficacy. The results: A group of 60 ears in 12 ears markedly, markedly effective rate was 20%, improvement in 32 ears, accounting for 53.33%, total effective rate of 73.33%, invalid 16 ears, accounting for 26.67%; B group of 65 ears in 44 ears markedly, significant efficiency for 67.69%, improved 15 ears, 23.08%, the total effective rate 90.77%, invalid 6 ears, accounting for 9.23%. Conclusion: The prevalence of middle ear puncture early adopters to clean the joint drug treatment, the clinical effect of making good, better than the middle ear puncture, the clinical effects of certain. 　　【Key Words】Secretory otitis media;Ear effusion;Tympanic puncture 　　【中图分类号】R764.21 【文献标识码】A 【文章编号】1006-1959（2009）06-0105-02 　　 　　分泌性中耳炎(secretory otitis media，SOM)是以传导性聋及鼓室积液为主要特征的中耳非化脓性炎症性疾病[1]，是耳鼻喉科的常见病[2]。由于慢性分泌性中耳炎常常合并中耳腔积液，因此又称为渗出性中耳炎、卡他性中耳炎等。传统的鼓膜切开置管，不仅手术复杂、需住院，甚至需全麻，而且患者痛苦大,不易接受[3]。近年来单纯鼓室穿刺术作为常用的治疗手段，但临床效果往往不稳定。遂本研究对我院对SOM患者采用鼓室穿刺术联合药物清洗治疗，取得较好的疗效。现报告如下： 　　 　　1 资料与方法 　　 　　1.1 研究对象： 本组95例(125耳)，男70例，女25例。年龄12-35岁，平均（22±5.8）岁，疗程3个月至半年有68耳，半年至1年有47耳，1至3年有10耳。单侧7