儿童外耳道异物临床分析及处理  

Clinical analysis and managcment of foreign bodics in external auditory canal in children

作　　者：胡长安 沈小飞 夏矜 HU Chang'an;SHEN Xiaofei;XIA Jin(Department of Otolaryngolegy,Nanjing Lislui People's Hospital,Nanjing,Jiangsu,211200,Chine;Depurtment of Otoluryngology,Afiliated Children's Haspital of Nanjing Medical Univeusity,Nanjing,Jiangsu,210008,China)

机构地区：[1]南京市溧水区人民医院耳鼻咽喉科,江苏南京211200 [2]南京医科大学附属儿童医院耳鼻咽喉科,江苏南京210008

出　　处：《中国耳鼻咽喉头颈外科》2020年第2期102-104,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的描述儿童外耳道异物现状,给予临床处理建议。方法选取南京儿童医院2012年6月~2018年4月收治188例外耳道异物患儿,描述外耳道异物种类;年龄、性别及左右耳分布;就诊时间分布;就诊原因;并发症类型;异物取出方法;器械的选择以及罕见异物处理。结果188例患儿中男104例,女84例。右耳异物103例,左耳异物77例,双侧8例。异物主要是塑料制品129例(68.6%),植物/食物类异物23例(12.2%),橡皮或橡皮泥类异物13例(6.9%)等。1周内就诊者151例(80.3%)。并发症包括外耳道损伤25例,鼓膜损伤33例,外耳道合并鼓膜损伤15例。纽扣电池异物4例,水银1例。术后发生听力损失伴眩晕1例。结论儿童外耳道异物并发症较高(38.8%),常需要全身麻醉下于术取出,对操作者技能,器械的合理选择和对并发症预估有较高要求。OBJECTIVE To descrihe the eurrent situalion of foreign houlies in the external audiory canal of children und give suggesliuns fur uclinieul lreulmnenl.METHOIS 188 children with toreign bodies in the external auditory canal treated in Nanjing Children's Hospital from June 2012 to Aprill 2018 were seleeted to study.The types of foreign bodies,age,sex,distribution of left and right ears,consult time distribution,causes of treatment,types of complications,treatment methods,selection of instruments and management of rare foreign bodies were analyzed.RESULTS There were 188 cases,104 male and 84 female.103 cases with foreign bodies in right extermal auditory canal,77 cases with forcign bdies in left external auditory canal and 8 cases with forcign bodies in bilateral external auditory canal.The most often types of foreign bodies were plasie beads(68.6%).food or organic seeds(12.2%),and rubber or elay foreign bdies in 13 cases(6.9%),and so on.151 patients(80.3%)visited the doctor within 1 week.The complications included external auditory canal injury(n=25),tympanic membrane injury(n=33)and external auditory canal combined with tympanie membrane injury(n=15).There were 4 cases of foreign bodies in buton battery and 1 case of mercury.Postoperative hearing loss with dizziness occurred in 1 case.Button battery foreign body was found in 4 cases,mercury in 1 case.CONCLUSION Complications of foreign bodics in the external audiory canal in children are high(38.8%)and most require general anesthesia for surgical removal,which requires high sills of the operator,reasonable selection of instruments,and prediction of complieations.

关 键 词：儿童 耳道 异物 临床方案 

分 类 号：R764.81[医药卫生—耳鼻咽喉科]