【摘要】 目的 探讨鼻内镜下咽鼓管导管注药治疗分泌性中耳炎的临床效果。方法于鼻内镜下经咽鼓管导管抽吸出鼓室内的积液并注入配制的麻黄碱混合药液，进行冲洗及留存。设对照组行鼓膜穿刺或鼓膜切开置管。结果 经临床观察及半年随访，治疗组治愈33耳，占78.6%，好转7耳，占16.7%，总有效率95.3%。对照组治愈16耳，占44.4%，好转13耳，占36.1%，总有效率80.5%。结论 该方法操作简便，患者痛苦少，并发症少，视野清楚，治疗效果好，不影响鼓膜的正常生理结构，对分泌性中耳炎起到综合治疗作用。

    关键词 鼻内镜 咽鼓管 分泌性中耳炎 鼓室积液

    Treatment of secretory otitis media by eustachian tube

    with liquid medicine under nasal endoscope

    Wang Rongbing

    Guancheng Hospital of Dongguan City，Guangdong523000.

    【Abstract】 Objective To study clinical effects of treatment of secretory otitis media by eustachian tube with liquid medicine under nasal endoscope.Methods Through eustachian tube we draw out effusion of tympanum and poured liquid medicine into tympanum under nasal endoscope.Results Through clinical observation and overall half a year，33cases(78.6%)were cured，7cases(16.7%)were relievedapparently ......