鼻内窥镜下腺样体切除术治疗儿童分泌性中耳炎的临床疗效观察  

To Observe the Clinical Curative Effect of Endoscopic Adenoidectomy in Treatment of Secretory Otitis Media in Children With Nasal Endoscope

作　　者：王洪娇 

机构地区：[1]沈阳242医院耳鼻喉科,110034

出　　处：《中国继续医学教育》2015年第5期86-87,共2页China Continuing Medical Education

摘　　要：目的讨论鼻内窥镜下腺样体切除术对治疗儿童分泌性中耳炎的临床疗效与意义。方法选取我院诊断明确的伴腺样体肥大的分泌性中耳炎患儿100例,随机分为A、B两组。分别应用保守治疗法与鼻内窥镜下腺样体切除法对疾病进行治疗。比较两组患儿经过不同方法治疗后疾病治疗总有效率。结果经鼻内窥镜下腺样体切除术组患者其疾病治疗总有效率98%,显著优于保守治疗组患者76%(P<0.05)。结论鼻内窥镜下腺样体切除术既可在短时间内改善患儿症状,恢复正常听力;又能够避免常规手术对儿童咽鼓管圆枕的损伤,并降低术后复发率。Objective To investigate the clinical effect and significance of adenoidectomy under nasal endoscope in treatment of junior secretory otitis media. Methods 100 cases of patients with adenoid hypertrophy were divided into A and B group, conservative treatment and adenoidectomy were applied. Results The total efficiency of adenoidectomy is 98%, significantly better than the conservative treatment which is 76%（P〈0.05）. Conclusion The treatment of adenoidectomy under nasal endoscope not only can improve the symptoms and restore normal hearing in a short period of time, but also can avoid the damage of conventional operation on children torus tubarius, and reduce the postoperative recurrence rate.

关 键 词：儿童患者 分泌性中耳炎 鼻内窥镜下腺样体切除术 临床疗效与意义 

分 类 号：R764[医药卫生—耳鼻咽喉科]