鼻内镜下逆行咽鼓管插管盐酸溴己新 注药治疗分泌性中耳炎

Treatment of secretory otitis media by retrograde catheterization via Eustachian tube and bromhexine hydrochloride injection under nasoscope

摘要:

目的 探讨咽鼓管插管行鼓室冲洗、盐酸溴己新注药治疗分泌性中耳炎的临床疗效。方法 对56例（89耳）分泌性中耳炎患者采取逆行咽鼓管插管。37℃盐水冲洗、盐酸溴己新注药并留置。观察耳闷、耳鸣症状，鼓室像，语言区听力恢复情况及与病程的关系。结果 全部病例89耳经1～3次治疗后，治愈59（66.4%），有效15耳（16.8%），无效15耳（16.8%）。治愈率66.4%，总有效率83.2%。病史小于半年者，治愈率明显高于半年以上者。随着治疗次数的增加，治愈率和有效率逐渐降低。结论 咽鼓管插管行鼓室冲洗、盐酸溴己新注药是治疗分泌性中耳炎安全有效的方法。

Abstract:

【Objective】 To explore the effect of retrograde catheterization via Eustachian tube and bromhexine hydrochloride injection on secretory otitis media (SOM). 【Methods】 A total of 56 cases(89 ears) with SOM were involved in this study. They accepted retrograde catheterization via Eustachian tube, 37℃ normal saline rinsing, bromhexine hydrochloride injection and observation. The ear muffled, tinnitus, eardrum, hearing loss in different frequencies and relationship with the course of disease were observed. 【Results】 After treatment for one to three times, 59 of 89 ears were cured (66.4%), 15 ears were improved (16.8%) and no effect was observed in 15 ears (16.8%). The cure rate was 66.4% and the overall effective rate was 83.2%. Cure rates was higher in the ears with the course of disease less than half a year. Cure rates and overall effective rates decreased after repeated treatment. 【Conclusion】 Retrograde catheterization via Eustachian tube combined with tympanic cavity irrigation and bromhexine hydrochloride injection is effective on SOM.