腺样体手术治疗儿童分泌性中耳炎的临床疗效观察  

Observation on the Clinical Efficacy of Adenoid Operation in the Treatment of Secretory Otitis Media in Children

作　　者：庞海凤[1] 徐平[1] 吴硕[1] 曲学华[1] 姚宪义[1] 

机构地区：[1]哈尔滨医科大学第四附属医院耳鼻咽喉科,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2014年第3期526-528,共3页Progress in Modern Biomedicine

摘　　要：目的:观察腺样体手术治疗儿童分泌性中耳炎的临床效果。方法:选择分泌性中耳炎合并腺样体肥大患儿80例(160耳),将其随机分为手术组和对照组,每组40例,手术组患儿给予腺样体消融手术治疗,而对照组患儿进行保守治疗,观察和比较两组治疗1个月后的临床疗效。结果:治疗1个月后,手术组治愈72耳,好转6耳,治疗总有效率为97.5%,而对照组治愈8耳,好转20耳,治疗总有效率为35%,较手术组显著降低(P<0.05)。结论:腺样体切除是治疗分泌性中耳炎的有效途径,治疗中应尽可能避免并发症的发生,恢复和保护咽鼓管的生理功能。Objective： To observe the clinical effect of adenoid operation on secretory otitis media in children. Methods： 80 cases （160 ears） of secretory otitis media with adenoid hypertrophy in children were selected and randomly divided into the operation group and control group, 40 cases in each group, the operation group was treated with adenoid ablation operation therapy, while the control group was treated with conservative therapy, the clinic curative effects 1 month after treatment were observed and compared between the two groups. Results： 1 month after treatment, in the operation group, 72 ears were cured, 6 ears were improved, the total effective rate was 97.5%, while in the control group, 8 ears were cured, 20 ears were improved, the total effective rate was 35%, which was significantly lower than that of the operation group （P〈0.05）.Conclusion： Adenoidectomy was an effective way in the treatment of secretory otitis media, the incidence of complications should be avoided as much as possible during the treatment to restore and conserve the physiological function of eustachian tube.

关 键 词：分泌性中耳炎 腺样体手术 治疗效果 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]