!癌症"!"#$%&%’()*$+,(-.+$/%*#0112#03$4%&5056507!技术与方法!鼓膜部分切除术治疗鼻咽癌放疗后分泌性中耳炎的临床价值周永"唐安洲"谭颂华"李杰恩"方勤!"#$#%&"’((")*+,)-$-./$*-0("1,1230(+$1%,-03.-451*41,-436,),)7819)+)$:+7-(;+43$<1+"=+4*)$-0++.,14>+?)-,;14+(3!"#$%&’(")*+,*’-!.&/")*+0&’(-"/1"23456-7’"8*9,:5’广西医科大学第一附属医院耳鼻咽喉科"广西南宁271105!"#$%&’"(&)*+&),-%.(/),)/.!01"23%4&5**3,3-&"67)4#3&-,!89-(/:3;"63<-,=(3>"%43&.!?-((3(/!@9-(/:3!ABCCDE!FGHGI13(-通讯作者!周永.(**%&8($9%$/%:(";<=>?($@A%,"BC6DD56272CDCEFGH+#,"I"()JJJK4C7L/(H基金项目"广西壮族自治区卫生厅资助项目#M(N;0O15131$!"#$%"P()$9+:#($-*(HQ%+,:"R)*%+)(-S)+$@T#U*(V#$/%#M(N;0OO5O3O$收稿日期!0OO3GO3G0B修回日期!0OO3GOCGOD鼻咽癌放疗后并发分泌性中耳炎的情况比较普遍!其发病及预后均与咽鼓管功能损害状况有关!对于咽鼓管功能已经受到严重的不可逆损害者!单纯的药物治疗已无实际意义!常用的鼓膜穿刺或切开的有效时限很短%广西医科"@A52>’B2#A’BCDEFG:HIFAJKBLMNK"7;;5<1<=&;>?6@5&/AB?61BC6’BA&’A66B&?=&B5B5AC6D5161?AE5B.A6@6?6F=D1C1(6D6/AB1<.51’B/G6;/’=5AF5C5B6DH)=C>1’>6?;&?1B5&’<1’1@&5D?6F1>A6&;A66B&?=&B5B5AC6D51H).5AAB/D=E1AB&6I>F&?6F6B6B=C>1’61B56’BAE5B.’1A&>.1?=’(61F<1?<5’&C1#+JK&1;B6??1D5&B.6?1>=HOKLPFHQ"*;B6?<&’;5?C6DA6@6?6F=D1C1(6D6/AB1<.51’B/G6;/’?6.6’A5@66I1C5’1B5&’A!LM9JK>1B56’BA’NO61?A&E5B.A66B&?=&B5B5AC6D511;B6??1D5&B.6?1>=?6<65@6D5’<&C>F6B6B=C>1’61B56’BAE6?6;&FF&E6D/>;&?C&?6B.1’MC&’B.AHEKQGRLQ"*;B6?&>6?1B5&’!NN&;NO#MNQ&61?A?6C15’6DB=C>1’>6?;&?1B5&’!1/D5B5&’E1A5C>?&@6D1BF1?(65’B.6A661?A!B.61@6?1(615?-G&’6<&’D/B&CA!A/<.1A1/?1F;/FF’6AA!B5’’5B/A!1’D.61D1<.6!G1A5<1FF=D5A1>>61?6DP*;B6?&>6?1B5&’!B=C>1’A5’U#RVQ&61?A!B.61@6?1(615?-G&’6<&’D/F6B6B=C>1’61’PCKTUFEHQ"91A&>.1?=’(61F’6&>F1ACA(Y1D5&B.6?1>=(066B&?=&B5B5AC6D51(3’<&C>F6B6B=C>1’6?<<@年;月对;A例!...