学龄前儿童分泌性中耳炎合并阻塞性睡眠呼吸暂停综合征不同术式的疗效观察  

CLINICAL EFFECTS OF DIFFERENT SURGICAL METHODS FOR PRESCHOOL CHILDREN OSAS AND OTITIS MEDIA WITH EFFUSION

作　　者：李阳阳[1] 曾祥悦[2] 姜永刚[1] 王东海[1] 张宇新 

机构地区：[1]河北省唐山市协和医院耳鼻咽喉头颈外科,063000 [2]唐山职业技术学院耳鼻咽喉头颈外科教研室 [3]华北理工大学基础医学院

出　　处：《中国煤炭工业医学杂志》2017年第10期1188-1192,共5页Chinese Journal of Coal Industry Medicine

摘　　要：目的比较学龄前儿童分泌性中耳炎(OME)合并阻塞性睡眠呼吸暂停综合征(OSAS)患儿不同术式疗效。方法将2015年1—12月收治的学龄前儿童分泌性中耳炎(OME)合并阻塞性睡眠呼吸暂停综合征(OSAS)手术患儿66例,分为A组(小儿鼾症手术组:腺样体切除+扁桃体切除术),B组(小儿鼾症手术同时行鼓膜切开术),C组(小儿鼾症手术同时行鼓膜置管术),A组21例30耳,B组23例33耳,C组22例30耳,比较不同术式的治疗效果。结果术后3个月,A组疗效低于B、C组(P<0.05),B组与C组比较差异无统计学意义(P>0.05);术后12个月,A、B组疗效均低于C组(P<0.05),A组与B组比较差异无统计学意义(P>0.05),三组术后OSAS复发及耳部并发症发生情况差异无统计学意义(P>0.05)。结论学龄前儿童分泌性中耳炎(OME)合并阻塞性睡眠呼吸暂停综合征(OSAS)可共病共治,小儿鼾症手术同时行鼓膜置管术可取得较好疗效。Objective To compare the outcomes of different surgical methods for preschool children with ob- structive sleep apnea syndrome （OSAS） and otitis media with effusion {OME）.Methods A total of 66 pre school children with obstructive sleep apnea syndrome {OSAS） and otitis media with effusion （OME） were selected in author＇s hospital from January 2015 to December 2015.They were divided into group A （pediatric snoring surgery group： adenoidectorny ＋ tonsillectomy）, group B （ pediatric snoring surgery and auripunc ture）, and group C （pediatric snoring surgery and tympanostomy tube）.There were 21 cases with 30 abnormal ears in group A,23 cases with 33 abnormal ears in group B,22 cases with 30 abnormal ears in group C. The treatment effects of different surgical methods were compared.Results Three months（short- term）after sur gery,the effect of group A was lower than group B and group C （P〈0.05）, but there was no significant difference between group B and group C （ P〉0.05）.Twelve months（ long - term） after surgery, the treatment effect of group A and B was not statistical significance （P）0.05）, the outcomes of group A and groups B both lower than that of group C with statistical significance （P （0.05 ）.There were no statistical significant a- mong the three groups in the surgery complications with ears and the recurrence of OSAS （P〉0.05）.Conclu- sion Preschool children with obstructive sleep apnea syndrome （OSAS） and otitis media with effusion （OME） surgical decision should be considered co- treatment, pediatric snoring surgery with tympanostomy tube can achieve the best short- term and long- term effects.

关 键 词：儿童 分泌性中耳炎 阻塞性睡眠呼吸暂停综合征 不同术式 疗效观察 

分 类 号：R764.23[医药卫生—耳鼻咽喉科]