摘要
目的:探讨鼻咽癌并发的分泌性中耳炎的治疗方法。方法:将58例鼻咽癌放疗前并发分泌性中耳炎患者随机分为两组。A组:鼻腔鼻咽部清理及冲洗加鼓膜穿刺抽液;B组:鼓膜切开或鼓室置管引流。随访半年,对治疗分泌性中耳炎的有效率和并发症发生率进行比较。结果:随访半年后,58例中存活51例。存活患者中,治疗分泌性中耳炎的有效率A组为82.1％,B组为57.1％,差异有显著性意义(P<0.05);治疗分泌性中耳炎并发症发生率A组为3.6％,B组为28.6％,差异有显著性意义(P<0.05)。结论:鼻咽癌患者分泌性中耳炎的治疗,鼻腔鼻咽部清理及冲洗加鼓膜穿刺抽液优于鼓膜切开或鼓室置管引流。
Objective: To investigate the treatment of secretory otitis media in nasopharyngeal carcinoma (NPC) patients. Method:Fifty eight patients of NPC with secretory otitis media were divided into two group by random before radiotherapy. Patients were treated by nasal and nasopharyngeal debridement and cleansing and tympanic membrane puncturing suction in group I , while patients were treated by myringotomy or ventilation tube insertion in Group H . After the patients were followed up for six months, the two group were compared by efficient rate and complication rate. Result:Fifty one out of total 58 patients survived after half an years follow-up. Statistics of surviving patients showed the efficient rate in group I was 82. 1% versus 57. 1 % in group II . Differentiation was found between two group (x2 = 4. 14, P < 0. 05). Complication rate was 3.6% in group I and 28. 6% in group II . There was differentiation between two group (x2=4. 7, P <0. 05). Conclusion: The nasal and nasopharyngeal debridement and cleaning and eardrum puncturing suction was superior to myringotomy or ventilation tube insertion.
出处
《临床耳鼻咽喉科杂志》
CAS
CSCD
北大核心
2003年第4期209-210,共2页
Journal of Clinical Otorhinolaryngology
关键词
鼻咽肿瘤
中耳炎
分泌性
综合疗法
并发症
Nasopharyngeal neoplasms
Secretory otitis media
Combined modality therapy
