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为了探讨Ｎｄ：ＹＡＧ激光鼓膜造孔治疗分泌性中耳炎的临床效果及机理，选择药物及其他方法如鼓膜穿刺抽液、鼓膜切开等治疗无效的患者３２例、３６耳，使用Ｎｄ：ＹＡＧ激光鼓膜造孔。患者６～７０岁，平均３８岁，男２１例，女１１例。鼓膜造孔平均直经１．６４ｍｍ，鼓室开放时间平均３．２５周，术后每周检查鼓膜及中耳情况，３例３耳第２次鼓膜激光造孔，１耳改置中耳通气管。治愈率９４．６％。无继发感染、鼓膜萎缩、瘢痕及硬化、持久性穿孔等后遗症，随访２～１３个月无一例复发。提示Ｎｄ：ＹＡＧ激光鼓膜造孔治疗分泌性中耳炎优于鼓膜穿刺抽液、鼓膜切开等方法
In order to investigate the clinical effect and mechanism of Nd: YAG laser tympanoplasty in the treatment of secretory otitis media, 32 patients (36 ears) and 36 ears (36 ears) were selected by drugs and other methods such as tympanic membrane aspiration and tympanotomy. Nd: Make a hole. Patients 6 to 70 years old, average 38 years old, 21 males and 11 females. The average diameter of the tympanic membrane perforation was 1.64mm and the tympanic opening time was 3.25 weeks on average. The tympanic membrane and the middle ear were examined weekly after operation. The third tympanic membrane was made in 3 ears and the middle ear trachea was replaced by 1 ear . The cure rate was 94.6%. No secondary infection, tympanic membrane atrophy, scars and sclerosis, persistent perforation and other sequelae, followed up for 2 to 13 months without a recurrence. Tip Nd: YAG laser tympanostomy for the treatment of secretory otitis media is superior to tympanic membrane aspiration, tympanic membrane incision and other methods