儿童分泌性中耳炎临床治疗分析
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摘要
目的:探讨腺样体肥大引起分泌性中耳炎的原因及手术疗效。方法:总结分析18例儿童腺样体肥大伴分泌性中耳炎患儿临床资料,观察手术治疗后效果情况。结果:所有病例随访半年以上,单纯鼓膜穿刺治疗7耳,有效率70%。鼓膜置管25耳治疗有效率92%。腺样体肥大术后复发1例。结论:内窥镜下腺样体吸切同时行鼓膜置管术对儿童分泌性中耳炎治疗效果最佳。
Objective:To investigate therapeutic effect of secretory otitis media(SOM)in children.Methods18 children cases of adenoid hypertrophy with SOM treated by adenoidectomy combined with surgery were retrospectively analyzed.ResultsAll the cases of OME were followed up at least 6months after operation.The effects of 7ears with puncture of tympanum were 70%,but the effects were 92%in 25 ears with tympanostomy tubes.A child was suffered from adenoid hypertrophy again after surgery.Conclusions:The therapeutic effect of transnasal endoscopic adenoidectomy combined with tympanostomy tubes is the best on adenoid hypertrophy with SOM.
Objective:To investigate therapeutic effect of secretory otitis media(SOM)in children.Methods18 children cases of adenoid hypertrophy with SOM treated by adenoidectomy combined with surgery were retrospectively analyzed.ResultsAll the cases of OME were followed up at least 6months after operation.The effects of 7ears with puncture of tympanum were 70%,but the effects were 92%in 25 ears with tympanostomy tubes.A child was suffered from adenoid hypertrophy again after surgery.Conclusions:The therapeutic effect of transnasal endoscopic adenoidectomy combined with tympanostomy tubes is the best on adenoid hypertrophy with SOM.
引文
[1]唐志辉,虞玮翔,顾家铭,等.中国香港与西方儿童分泌性中耳炎发病率的比较[J].中华耳鼻咽喉科杂志,2004,39:7.
[2]方洪兴,房明琴.儿童分泌性中耳炎的病因及疗效观察[J].听力学及言语疾病杂志,2006,3(14):224-225.
[3]Yaman H,Yilmaz S,Guclu E,et al.Otitis media with effusion:recurrence after tympanostomy tube extrusion[J].Int J Pediatr Otorhinolaryngol,2010,74(3):271.
[4]周文亮,崔玉,路磊,等.耳内镜下鼓膜置管术治疗分泌性中耳炎87例分析[J].中国误诊学杂志,2009,3(9):647-648.
[5]阎斌,张洪,张茜蕾,等.耳内镜下分泌性中耳炎鼓膜置管术的临床应用[J].临床耳鼻咽喉科杂志,2005,8(19):375.
[6]刘世琳,刘卫一,张亚梅,等.不同方法治疗儿童不同程度分泌性中耳炎的疗效观察[J].听力学及言语疾病杂志,2009,2(17):123-124.
[7]毕芳妮,李东升,付明华,等.儿童腺样体肥大并发分泌性中耳炎临床分析[J].听力学及言语疾病杂志,2005,4(13):281.
[8]白霞,徐明,沈安民.经鼻内镜腺样体切除术后对儿童分泌性中耳炎听力转归的影响[J].中国内镜杂志,2009,7(15):683-685.
[2]方洪兴,房明琴.儿童分泌性中耳炎的病因及疗效观察[J].听力学及言语疾病杂志,2006,3(14):224-225.
[3]Yaman H,Yilmaz S,Guclu E,et al.Otitis media with effusion:recurrence after tympanostomy tube extrusion[J].Int J Pediatr Otorhinolaryngol,2010,74(3):271.
[4]周文亮,崔玉,路磊,等.耳内镜下鼓膜置管术治疗分泌性中耳炎87例分析[J].中国误诊学杂志,2009,3(9):647-648.
[5]阎斌,张洪,张茜蕾,等.耳内镜下分泌性中耳炎鼓膜置管术的临床应用[J].临床耳鼻咽喉科杂志,2005,8(19):375.
[6]刘世琳,刘卫一,张亚梅,等.不同方法治疗儿童不同程度分泌性中耳炎的疗效观察[J].听力学及言语疾病杂志,2009,2(17):123-124.
[7]毕芳妮,李东升,付明华,等.儿童腺样体肥大并发分泌性中耳炎临床分析[J].听力学及言语疾病杂志,2005,4(13):281.
[8]白霞,徐明,沈安民.经鼻内镜腺样体切除术后对儿童分泌性中耳炎听力转归的影响[J].中国内镜杂志,2009,7(15):683-685.