引用本文:别 旭,孙秀珍,王吉喆,郭 燕.儿童腺样体肥大并发分泌性中耳炎的临床分析[J].大连医科大学学报,2010,32(3):299-301+308.
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儿童腺样体肥大并发分泌性中耳炎的临床分析
别 旭, 孙秀珍, 王吉喆, 郭 燕
大连医科大学附属第二医院 耳鼻喉科,辽宁 大连 116027
摘要:
[目的]分析腺样体肥大患儿群体中分泌性中耳炎的发病情况及腺样体切除术后分泌性中耳炎的转归。[方法]回顾分析119例腺样体肥大患儿术前声导抗、鼻咽侧位摄片及电测听检查情况,经70度鼻内窥镜口腔入路腺样体切除术,术后随访3个月,记录声导抗及鼓膜形态变化。[结果]119例患儿中分泌性中耳炎44例(中耳炎发病率达36.97%),术后3个月内声阻抗及鼓膜形态恢复正常42例,手术治愈率达95.45%。[结论]分泌性中耳炎在腺样体肥大患儿群体中发病率较高,治疗上更强调去除病因;常规对此类儿童进行声导抗检查,可避免因漏诊而贻误治疗,具有重要的临床意义。
关键词:  腺样体  肥大  中耳炎  鼓室声导抗测试
DOI:10.11724/jdmu.2010.03.15
分类号:R764.21
基金项目:
Relationship between adenoid hypertrophy and secretory otitis media in children
BIE Xu, SUN Xiu-zhen, WANG Ji-zhe, GUO Yan
Department of Otorhinolaryngology, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China
Abstract:
[Objective]To determine the incidence of secretory otitis media in children with adenoids hypertrophy and its prognosis after adenoidectomy.[Methods]There were 119 children with adenoids hypertrophy. The results of acoustic impedance tests, nasopharyngeal x-rays and pure tone tests were analyzed before the adenoidectomy. Seventy degree endoscopy was used to perform the adenoidectomy. Then the results of acoustic impedance tests and the state of tympanic membranes were followed up for 3 months.[Results]Forty-four children were diagnosed of secretory otitis media in the 119 cases with adenoid hypertrophy and the incidence rate was 36.97%. Forty-two children became normal acoustic impedance tests and tympanic membrane in 3 months after the adenoidectomy and the cure rate was 95.45%.[Conclusion]The incidence of secretory otitis media is very high in children with adenoid hypertrophy, and for them more emphasis should be put on the adenoidectomy treatment.It is of very importance to take the examination of acoustic impedance tests routinely in children with adenoid hypertrophy.
Key words:  adenoids  hypertrophy  otitis media  acoustic impedance tests