鼓膜置管联合咽鼓管吹张治疗儿童慢性分泌性中耳炎的疗效分析  

Analysis of the efficacy of trans-tympanic catheter insertion combined with eustachian tube insufflation in treatment of chronic secretory otitis media in children

作　　者：纪尧峰 赵振鹿 周钦 孟兆雪 尹瑞瑞 王晓莹 JI Yaofeng;ZHAO Zhenlu;ZHOU Qin;MENG Zhaoxue;YIN Ruirui;WANG Xiaoying(Department of Otorhinolaryngology Head and Neck Surgery,the Affiliated Children’s Hospital of Xuzhou University,Xuzhou 221006,China)

机构地区：[1]徐州医科大学附属徐州儿童医院耳鼻咽喉头颈外科,江苏徐州221006

出　　处：《中国耳鼻咽喉颅底外科杂志》2022年第6期61-64,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨鼓膜置管联合咽鼓管吹张治疗儿童慢性分泌性中耳炎(OME)的疗效。方法收集2018年1月—2020年6月在徐州医科大学附属徐州儿童医院治疗的98例(127耳)儿童慢性OME患者的临床资料,所有研究对象病史均>3个月。按照随机数字法分为观察组(鼓膜置管联合咽鼓管吹张)49例(59耳)和对照组(单纯鼓膜置管)49例(68耳),比较两组疗效及并发症。结果观察组59耳治愈55耳、好转3耳,总有效率98.31%(58/59),对照组68耳治愈50耳,好转9耳,总有效率86.76%(59/68),两组差异具有统计学意义(P<0.05);两组均未出现鼓膜穿孔、眩晕、中耳感染等不良反应。结论儿童慢性OME保守治疗无效时,先行鼓膜置管术,若疗效不满意或者慢性复发者可选择鼓膜置管联合咽鼓管吹张。Objective To investigate the efficacy of trans-tympanic catheter insertion combined with eustachian tube insufflation in treatment of persistent otitis media with effusion(OME).Methods The clinical data of 98 children(127 ears)with chronic OME treated in Xuzhou Children’s Hospital Affiliated to Xuzhou Medical University from January 2018 to June 2020 were collected.And the clinical histories of all the patients were more than three months.The patients were divided into observation group and control group according to the random digital method.There were 49 cases(59 ears)into the observation group(tympanic tube catheterization combined with eustachian tube dilation),and 49 cases(68 ears)into the control group(tympanic tube catheterization alone).The efficacy and complications of the two groups were compared.Results In the observation group of 49 cases(59 ears),55 ears were cured,3 ears were improved,the total effective rate was 98.31%(58/59).In the control group of 49 cases(68 ears),50 ears were cured,9 ears were improved,the total effective rate was 86.76%(59/68).The difference between the two groups was significant(P<0.05).The two groups had no adverse effects such as tympanic membrane perforation,vertigo and middle ear infection.Conclusion When the conservative treatment of persistent otitis media effusion in children is ineffective,trans-tympanic catheter insertion should be performed first.If the efficacy is not satisfactory or Chronic relapses,trans-tympanic catheter insertion combined with eustachian tube insufflation can be selected.

关 键 词：分泌性中耳炎 咽鼓管吹张 鼓膜置管 儿童 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]