儿童分泌性中耳炎相关骨导听力下降的临床分析  

Clinical analysis of sensorineural hearing loss associated with otitis media with effusion in children

作　　者：李幼瑾[1] 陈洁[1] 陶峥[1] 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心耳鼻咽喉科,上海200127

出　　处：《临床耳鼻咽喉头颈外科杂志》2009年第4期154-156,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析儿童分泌性中耳炎相关的骨导听力下降的病因、诊断和治疗方法。方法:回顾性分析150例(225耳)分泌性中耳炎儿童中35例(37耳)骨导听力下降的临床资料。结果:35例患儿均给予鼓膜切开置管或(和)鼻内镜下腺样体切除术,术后给予药物治疗。34例患儿骨导听阈恢复正常,1例患儿随访6个月改善不明显。结论:35例(23.3%)患儿的暂时性听阈移位或永久性听阈移位的发病机制与分泌性中耳炎有关。儿童分泌性中耳炎的发病病程中有发展成骨导听力下降的可能,应引起高度重视,及早干预避免病情发展。Objective：To explore the cause, diagnosis and therapy of sensorineural hearing loss associated with otitis media with effusion （OME） in children. Method：Thirty-five cases （37 ears） of sensorineural hearing loss associated with otitis media with effusion in children from a total 150 patients （225 ears） were-analyzed retrospectively. Result： Thirty-five cases were treated with myringotomy with insertion of ventilation tubes or adenoids removal and myringotomy with insertion of ventilation tube. All cases were treated with drugs after the operation. Thirty-four of all cases improved completely. One improved slightly during follow-up with hearing level of bone. Conclusion：Thirty-five cases （23.3 %） which had temporary threshold shift or permenant threshold shift were considered to be etiologically related to OME. The result of this study indiciates that we have to be aware of a possible development of SNHL during the course of OME.

关 键 词：分泌性中耳炎 感音神经性聋 儿童 病因 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]