儿童分泌性中耳炎鼓膜置管手术的预后及其影响因素分析  

The prognosis and its influencing factors analysis on grommet insertions for secretory otitis media in children

作　　者：李蓓[1] 杨扬[1] 陈敏[1] 郝津生[1] 刘世琳[1] 张杰[1] Li Bei Yang Yang Chen Min Hao Jinsheng Liu Shilin Zhang Jie(Department of Otolaryngology Head and Neck Surgery ,Beijing Children＇s Hospital .Affiliated to the Capital Medical University ,Beijing 100045)

机构地区：[1]首都医科大学附属北京儿童医院耳鼻咽喉头颈外科,北京100045

出　　处：《重庆医学》2017年第11期1495-1496,共2页Chongqing medicine

摘　　要：目的探讨儿童分泌性中耳炎鼓膜置管干预治疗的预后状况,并分析其影响因素。方法 2011年因分泌性中耳炎于该科行鼓膜置管术的103例(182耳)儿童病例,对其进行2年的术后随访,依据年龄中位数6岁将病例分成A组和B组。比较两组术前、术后2周纯音测听平均听阈,伴或不伴腺样体肥大、置管脱出时间、分泌性中耳炎复发及是否实施二次手术治疗情况。结果两组术前、术后2周纯音测听平均听阈比较差异无统计学意义(P>0.05),两组术后2周纯音测听平均听阈均低于术前(P<0.05)。两组伴有腺样体肥大、置管脱出时间、二次置管数比较差异有统计学意义(P<0.05),分泌性中耳炎复发数差异无统计学意义(P=0.088)。结论对于学龄期分泌性中耳炎患儿需适当延长置管时间以降低二次置管概率。Objective To investigate the prognosis of grommet insertions for osecretory otitis media in children and analyze the factors that may influence the results. Methods A retrospective review of 103 children （182 ears） with grommet insertions for osecretory otitis media from January 2011 to December 2011 was performed. They were divided into two groups（A and B） basing on the median age of 6 years old and observed their clinical manifestations, etiology and prognosis through two years＇ follow-up. The preoperative pure tone audiometry（PTA） hearing threshold,PTA in two weeks after surgery,the proportion of adenoid hypertro- phy,the time of tube extrusion,the relapse of osecretory otitis media and repeat operation between two groups were compared. Re- suits The difference of preoperative PTA and post operative PTA were not significant different between two groups（P〉0.05）. But post operative PTA was lower than preoperative PTA（P〈0.05）. The difference of otitis media recurrence was not significant different between two groups（P= 0. 088）,but adenoid hypertrophy＇s proportion;tube extrusion＇s time and relapse were significant different（P〈0.05）. Conclusion For school-age children with secretory otitis media need to extend the catheter time to reduce the probability of secondary catheterization.

关 键 词：儿童 中耳炎 伴渗出液 手术 置管 预后 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]