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纤维鼻咽镜通常用于鼻腔及鼻咽部病变的诊断.1994年8月至1995年4月.我们对32例因咽鼓管炎性阻塞引起的鼓室积液患者,经纤维鼻咽镜行咽鼓管注药清洗鼓室.获得较满意效果.报告如下.l 资料与方法1.1 临床资料32例(40耳)中.男21例,女11例;年龄14～55岁.病程 8d～5个月.单耳患病 24例,双耳 8例.检查:鼓膜轻度广泛性充血27耳,鼓室液平13耳.鼓室压图B型16耳,C型24耳.均示传导性耳聋.32例均曾行鼓膜穿刺抽液治疗1～3次,并用氯麻液滴鼻.全身应用抗生素和激素;部分患者且行咽鼓管通气及雾化吸入治疗,效果均欠佳.全部患者在纤维鼻咽镜下均未发现肿物或痂皮堵塞咽鼓管咽口者.
Fiber optic nasopharyngeal usually used for the diagnosis of nasal and nasopharyngeal lesions from August 1994 to April 1995. 32 cases of eustachian tube obstruction caused by effusion in patients with tympanic fluid by fiber nasopharyngoscopy Eustachian tube injection drug cleaning tympanic cavity to obtain more satisfactory results reported as follows.l data and methods 1.1 clinical data in 32 cases (40 ears), 21 males and 11 females, aged 14 to 55. The course of 8d to 5 Month. Monocular disease in 24 cases, both ears in 8. Check: tympanic membrane of 27 cases of mild hyperemia, tympanic level of 13 ears. Tympanogram B type 16 ears, C-type 24 ears. All showed conductive deafness. 32 cases were treated by tympanic membrane aspiration 1 to 3 times, and the use of chlorine cannabis nasal drops systemic antibiotics and hormones; some patients and Eustachian tube ventilation and inhalation therapy, the effect is poor.All patients in the fiber Nasopharyngeal tumors were found no tumor or crust eustachian tube pharyngeal swollen mouth.