论文部分内容阅读
目的观察鼻咽癌放疗后分泌性中耳炎应用Oto Scan耳镜CO_2激光鼓膜造孔术(OTOLAM)治疗的临床效果。方法选取医院鼻咽癌放疗致分泌性中耳炎患者84例,随机分为观察组和对照组,每组42例。观察组采用OTOLAM方法治疗,对照组采用内镜下鼓膜置管治疗,观察2组患者听阈变化、鼓室图分型、临床疗效、并发症发生率。结果治疗后,观察组气导听阈、骨导听阈、气—骨导听阈均低于对照组(P<0.01)。治疗后,观察组患者A型比例为73.81%,高于对照组的47.62%(P<0.05)。观察组治愈率为66.67%,高于对照组的42.85%(P<0.05)。观察组并发症率为9.52%,对照组并发症率为23.81%,2组比较差异无统计学意义(P>0.05)。结论 OTOLAM治疗鼻咽癌放疗后分泌性中耳炎患者效果肯定,安全性高。
Objective To observe the clinical effect of Oto Scan otoscopic CO 2 laser tympanoplasty (OTOLAM) in the treatment of secretory otitis media after radiotherapy of nasopharyngeal carcinoma. Methods Eighty-four patients with secretory otitis media were randomly divided into observation group and control group, 42 cases in each group. The observation group was treated with OTOLAM, while the control group was treated with endoscopic tympanic membrane catheterization. The changes of hearing threshold, tympanogram, clinical efficacy and complication rate were observed in two groups. Results After treatment, the values of air conduction threshold, bone conduction threshold and air-bone conduction threshold in the observation group were lower than those in the control group (P <0.01). After treatment, the ratio of type A in the observation group was 73.81%, which was higher than that in the control group (47.62%, P <0.05). The cure rate of the observation group was 66.67%, which was higher than that of the control group (42.85%, P <0.05). The complication rate was 9.52% in the observation group and 23.81% in the control group. There was no significant difference between the two groups (P> 0.05). Conclusion OTOLAM treatment of patients with secretory otitis media after radiotherapy of nasopharyngeal carcinoma is effective and safe.