慢性中耳炎咽鼓管鼓室口病变对咽鼓管功能的影响

• 作 者: 谭颂华 唐安洲 徐志文 周永
• 机 构: 广西医科大学第一附属医院耳鼻咽喉科,广西医科大学第一附属医院耳鼻咽喉科,广西医科大学第一附属医院耳鼻咽喉科,广西医科大学第一附属医院耳鼻咽喉科 南宁530021,南宁530021,南宁530021,南
• 出 处: 临床耳鼻咽喉科杂志
• 发表日期: 2004年11期
• 关键词: 中耳炎 咽鼓管功能

目的 :探讨慢性中耳炎咽鼓管鼓室口病变与咽鼓管功能障碍的关系。方法 :用鼓室镜及咽鼓管功能检查仪对 4 4例 (45耳 )慢性中耳炎患者 ,进行术前咽鼓管鼓室口观察和咽鼓管功能检查 ,并对检查结果进行对比分析。结果 :4 5耳慢性中耳炎中 ,咽鼓管鼓室口正常 17耳 ,骨刺增生、黏膜肿胀等轻度病变者 18耳 ,黏膜肿胀或肉芽增生致管腔明显狭窄的重度病变有 10耳 ,其中 9耳咽鼓管功能呈阻塞型改变。结论 :咽鼓管鼓室口及骨部的骨刺增生、黏膜肿胀、肉芽形成是慢性中耳炎的常见病变 ,鼓室口及骨部的阻塞是导致慢性中耳炎咽鼓管阻塞的原因。

Objective: To investigate the relationship between eustachian tube tympanic cavity lesions and eustachian tube dysfunction in patients with chronic otitis media. Methods: Forty-four patients (45 ears) with chronic otitis media were examined with eustachian tube tympanic cavity and eustachian tube function test by tympanoscope and Eustachian tube functional examination. The results of the examination were compared. Results: In 45 cases of chronic otitis media, eustachian tube tympanostomia normal 17 ears, bone spurs hyperplasia, mucosal swelling and other mild lesions in 18 ears, mucosal swelling or granuloma hyperplasia obvious stenosis severe lesions 10 ears, of which 9 Eustachian tube function obstructive changes. Conclusion: The eustachian tube tympanic cavity and bone spurs proliferation, mucosal swelling, granulation is a common disease of chronic otitis media, tympanic hole and bone obstruction is the cause of chronic otitis media eustachian tube obstruction.