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中耳充气不全是渗出性中耳炎常见后遗症之一。长期以来,由于对本病的认识不足,因此至今文献报道甚少。笔者1980至1982年共观察治疗30例(36耳),特报告如下: 临床资料本组30例(36耳),男16例,女14例。年龄6~58岁。其中10~30岁19例(占63.3%)。病程4个月~12年。其中4~12个月8例,1~2年12例,2年以上7例,不详者3例。有明确中耳炎史者23例(76.6%)。其中9例做过鼓膜穿刺和插管等治疗。有鼻及副鼻窦病史者11例(36.6%),有咽部疾病者5例(16.6%)。 30例中,以耳闷、听力下降为主诉者24例(80%);耳鸣(?)例(10%);耳痛和间断流水者2例(6.6%)。按Sade分类,完全性耳充气不全者22例(61.1%);部分性耳充气不全14耳(38.9%),其中11耳显示后上象限内陷,2耳为鼓膜中央内陷,1
Inflammatory middle ear is one of the common sequelae of exudative otitis media. For a long time, due to lack of understanding of the disease, so far little reported in the literature. The author observed a total of 30 cases (36 ears) from 1980 to 1982, the special report is as follows: Clinical data The group of 30 patients (36 ears), 16 males and 14 females. Age 6 to 58 years old. Of which 10 to 30 years old in 19 cases (63.3%). Duration of 4 months to 12 years. There were 8 cases in 4 ~ 12 months, 12 cases in 1 ~ 2 years, 7 cases in 2 years or more, and 3 cases in unknown. There are 23 cases of clear history of otitis media (76.6%). Nine of them were treated with tympanic membrane and intubation. There were 11 cases (36.6%) with history of nasal and paranasal sinuses and 5 cases (16.6%) with pharyngeal diseases. Among the 30 cases, 24 cases (80%) were predominantly hearing-depressing and hearing loss, tinnitus (10%), 2 cases (6.6%) of earache and intermittent water flow. According to Sade classification, 22 cases (61.1%) had complete auricular insufficiency; 14 cases (38.9%) had partial auricular insufficiency, of which 11 ears showed upper quadrant invagination, 2 ears were medial eardrum and 1