儿童分泌性中耳炎62例临床分析  

Clinical Analysis of 62 Cases of Otitis Media with Effusion in Children

作　　者：刘建治[1] 刘静波[1] 

机构地区：[1]福建医科大学附属协和医院耳鼻咽喉科,福建福州350001

出　　处：《武汉大学学报（医学版）》2014年第5期808-810,815,共4页Medical Journal of Wuhan University

摘　　要：目的:探讨儿童分泌性中耳炎的致病因素及治疗策略。方法:分析62例(96耳)儿童分泌性中耳炎临床资料,根据不同致病因素选择相应治疗方案,经3个月保守治疗仍无效者予外科介入。结果:急慢性鼻窦炎伴腺样体肥大为主要病因者35例(54耳),急性或慢性鼻窦炎为主要病因者14例(21耳),单纯腺样体病理性肥大者5例(10耳),反复上呼吸道感染为主要病因者8例(11耳);经保守治疗73耳痊愈,23耳经鼓膜切开或鼓膜置管及腺样体切除术后痊愈。结论:本病最常见致病因素为腺样体肥大伴鼻窦感染,大多可经保守治疗痊愈,鼓膜植管率低。Objective：To investigate the pathogenic factors and treatment strategy of children with secretory otitis media.Methods：Clinical data of 62cases（96ears）in children with secretory otitis media were analyzed,the corresponding treatment scheme adopted on the basis of different pathogenic factors,and surgical intervention was assumed if 3months of conservative treatment was invalid.Results：Acute or chronic rhinosinusitis with adenoid hypertrophy was the main cause of secretory otitis media in 35cases（54ears）,and the other causes were acute or chronic sinusitis（14cases,21ears）,adenoid hypertrophy（5cases,10ears）,and recurrent respiratory infection（8cases,11ears）.There were 73 ears cured by conservative treatment,the other 23 ears were treated by myringotomy,myringotomy tube insertion,or adenoidectomy.Conclusion：Adenoid hypertrophy and sinus infections were the most common pathogenic factors in otitis media with effusion in children.Most patients could be cured by conservative treatment with a low rate of myringotomy tube insertion.

关 键 词：分泌性中耳炎 影响因素 鼓膜植管术 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]