摘要
目的分析慢性化脓性中耳炎(chronic suppurative otitis media,CSOM)与不同类型阻塞性鼻部疾病的相关性,为研究CSOM的发病机制和治疗提供依据。方法回顾性分析我院收治的CSOM病例,结合病史、发病情况、伴随症状及影像学检查,对鼻部疾病的种类及其对单双耳发病、耳鸣及听力损失程度的影响进行总结、分析。结果共收集168例患者,男性88例,女性80例,平均年龄39.7±14.7岁,合并阻塞性鼻部病变者120例,占71.43%,其中下鼻甲肥大76例,鼻窦炎53例,鼻中隔偏曲22例;以其他头颈部疾病作为对照组的患者94例,合并鼻部病变者45例,占47.87%,两组患者合并阻塞性鼻部病变结果有统计学差异。单双耳侧别、耳鸣情况、听力下降程度与鼻部疾病无明显相关性。结论阻塞性鼻部疾病可以明显促进CSOM的发病,其中由于下鼻甲肥大的鼻阻力值较大,对CSOM的发病贡献较大。在治疗此类CSOM同时要针对鼻部疾病进行预防。鼻部疾病对单双耳侧别、耳鸣以及听力下降症状无明显促进作用。
Objective This article analyzes the correlation between chronic suppurative otitis media(CSOM)and different types of obstructive nasal diseases,and provides basis for study on the pathogenesis and treatment of CSOM.Methods The CSOM cases admitted to our hospital were analyzed retrospectively,and the types of nasal diseases and their effects on the incidence of single and double ears,tinnitus and hearing loss were summarized and analyzed in combination with their history,incidence,accompanying symptoms and imaging examinations.Results A total of 168 patients with CSOM were collected,including 88 males and 80 females,with an average age of 39.7±14.7 years.120 patients(71.43%)were complicated with obstructive nasal lesions,including 76 cases of inferior turbinate hypertrophy,53 cases of sinusitis,and 22 cases of nasal septum deviation;There were 94 patients with other head and neck diseases as the control group,with an average age of 48.9±18.3years,and 45 patients with nasal lesions,accounting for 47.87%.The difference between the two groups was statistically significant.There was no significant correlation between nasal diseases and unilateral and binaural sides,tinnitus and hearing loss.Conclusion Obstructive nasal disease can significantly promote the onset of CSOM,among which inferior turbinate hypertrophy has a large nasal resistance value,which contributes greatly to the onset of CSOM.While treating this kind of CSOM,we should also prevent nose diseases.Obstructive nose diseases did not significantly promote the side of the disease,tinnitus and hearing loss symptoms.
作者
吕钟琪
雷永红
陈晗
李新建
LV Zhong-qi;LEI Yong-hong;CHEN Han;LI Xin-jian
出处
《中国听力语言康复科学杂志》
2023年第3期266-269,共4页
Chinese Scientific Journal of Hearing and Speech Rehabilitation
关键词
慢性化脓性中耳炎
阻塞性鼻部疾病
发病机制
症状
Chronic suppurative otitis media
Obstructive nasal disease
pathogenesis
Symptoms
