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題 名 | 通氣管置入術治療成人中耳積液--臨床分析=Middle Ear Effusion in Adults Treated with Grommet Insertion-Clinical Analysis |
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作 者 | 王俊富; 趙文元; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 32:4 1997.08[民86.08] |
頁 次 | 頁16-21 |
分類號 | 416.821 |
關鍵詞 | 積液性中耳炎; 通氣管置入術; Otitis media with effusion; Grommet insertion; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究收集 1988 年 7 月至 1996 年 6 月 8 年間,在成大醫院初次診斷為積液 性中耳炎並接受中耳通氣管手術之 16 歲以上成年人,共 198 例( 260 耳),根據病歷記 載,分析各年齡層之鼓室圖、初發症狀、病因及復發率;並且統計通氣管從置入至脫落的時 間。結果顯示 16-29 歲及 60 歲以上者,病因以鼻竇炎較常見,而 30-59 歲之間則以鼻咽 癌患者居多。初發症狀以耳塞感最常見,佔 75.3 %,其次是聽力障礙( 74.2 %)。追蹤 2 年以上的 132 例( 175 耳),171 耳之通氣管均在 2 年內自行脫落,平均約為 8.6 個 月。 在 2 年內復發的情況,依其病因分別是患頭頸部腫瘤者 78 耳( 78.8 %),鼻竇炎 者 12 耳( 27.3 %),上呼吸道感染者 1 耳( 7.1 %),其他 4 耳( 28.6 %)。 本 研究顯示鼻咽癌及鼻竇炎為成人中耳積液的主要原因,故對於積液性中耳炎的成人患者,鼻 咽部的詳細檢查是絕對必須的。 |
英文摘要 | Otitis media with effusion (OME) commonly occurs at childhood, whereas adult-onset OME is less common. The latter is generally secondary to neoplastic diseases of the nasopharynx or other head and neck tumors. We retrospectively studied 198 patients (260 ears) with adult-onset OME which needed grommet insertion at our department. Of 103 patients with head and neck cancers, 38.8% had OME before radiotherapy. Ear fullness and hearing impairment were the most common symptoms in these patients. The mean extrusion time of the ventilation tube was 8.6 months. If the ventilation tube was extruded, the recurrence rate of OME was higher in the head and neck cancer patients than that of the others. We suggest that nasopharyngeal examination is mandatory in the adult-onset OME patients. Longterm follow-up may be necessary to exclude the irreversible change of the Eustachian tube in the irradiated patients. |
本系統中英文摘要資訊取自各篇刊載內容。