腺样体切除联合鼓膜置管术治疗儿童分泌性中耳炎临床研究  

Adenoidectomy combined treatment of children with tympanic catheter clinical study of secretory otitis media

作　　者：刘飞[1] 史保轩[1] 

机构地区：[1]河南省人民医院耳鼻喉科,河南郑州450000

出　　处：《现代预防医学》2012年第10期2463-2464,2470,共3页Modern Preventive Medicine

摘　　要：目的探讨腺样体切除联合鼓膜置管术治疗儿童分泌性中耳炎的临床疗效。方法 68例患儿分为两组,35例患儿行腺样体切除联合鼓膜置管术(观察组);33例患儿单纯行鼓膜置管术(对照组)。比较两组患儿的临床疗效、复发情况和术后感染情况。结果观察组总有效率为91.43%,明显高于对照组的78.79%,两组比较差异有统计学意义(P﹤0.05)。所有患者术后随访3个月～1年,观察组复发2例,感染2例,复发率和感染率均为5.71%;对照组复发6例,感染4例,复发率为18.18%,感染率为12.12%。两组的复发率和感染率相比较,差异有统计学意义(P﹤0.05)。结论采用腺样体切除联合鼓膜置管术对分泌性中耳炎的临床疗效良好,复发率和感染率低,是一种有效的儿童分泌性中耳炎手术治疗方法,对听力改善具有显著作用,值得临床推广和应用。OBJECTIVE To investigate the adenoidectomy combined grommet insertion of secretory otitis media treatment of children in clinical efficacy.METHODS 68 patients were divided into two groups,35 children underwent adenoidectomy combined tympanic catheter（study group）;33 children underwent a simple line of grommet insertion technique（control group）.We compared the clinical efficacy,recurrence and postoperative infection of the two groups.RESULTS The total effective rate was 91.43%,which was significantly higher than 78.79%.There was significant difference between the two groups（P﹤0.05）.All patients were followed up for 3 months to 1 year.The recurrence of the observe the group showed in 2 cases,infection in 2 cases.The the relapse rate and infection rates were both 5.71%;In the control group,recurrence showed in 6 cases,infection in 4 cases,and the recurrence rate and infection rate was 18.18% and 12.12%,respectively.We compared the relapse rate and infection rate of the two groups,and there was significant difference between the two groups（P﹤0.05）.CONCLUSION Adenoidectomy combined catheter eardrum otitis media with effusion showed a good clinical efficacy,low relapse rate and infection rate,which is an effective method in treatment of secretory otitis media children,has a significant effect on hearing improvement,and is worthy of promotion and application.

关 键 词：儿童 分泌性中耳炎 腺样体 鼓膜置管术 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]