咽鼓管球囊扩张术的临床应用进展

Progress in clinical application of balloon eustachian tuboplasty

摘要:

咽鼓管连接中耳和鼻咽部，主要功能是维持中耳与鼻咽部之间的气压平衡，促进中耳内分泌物的排出，并起到阻声和消声的作用。当咽鼓管发生功能障碍时可出现耳闷胀感、耳鸣、听力下降等症状，甚至引起分泌性中耳炎、中耳胆脂瘤等疾病的发生，但目前仍缺乏咽鼓管功能障碍检查和治疗的金标准。咽鼓管球囊扩张术(BET)自2010年出现以来，已有不少研究证实其有效性及安全性。本文就咽鼓管球囊扩张术的起源、原理、适应证、手术过程、临床应用和并发症进行综述，以期为临床提供参考。

Abstract:

The eustachian tube connects the middle ear to the nasopharynx. Its main function is to maintain the balance of air pressure between the middle ear and the nasopharynx. It mainly promotes the discharge of secretions in the middle ear, and plays a role in blocking and eliminating sound. Eustachian tube dysfunction can lead to symptoms of aural fullness, tinnitus, hearing loss, and even middle ear diseases such as secretory otitis media and cholesteatoma. However, there is still a lack of a gold standard for examination and treatment of Eustachian tube dysfunction at present. Balloon eustachian tuboplasty (BET) has been available since 2010. Many studies have confirmed its effectiveness and safety. The paper reviews the origin, principle, indications, surgical procedure, clinical application and complications of BET. It is aimed at providing a clinical practice reference.