OME伴腺样体肥大患儿TTI联合腺样体切除术后复发因素的分析  

Analysis of recurrence factors after TTI combined with adenoidectomy in OME children with adenoid hypertrophy

作　　者：刘晓峰[1] 王登茂[1] 崔莉[1] 史雅楠 倪芳 王红波 耿江桥[1] LIU Xiaofeng;WANG Dengmao;CUI Li;SHI Ya'nan;NI Fang;WANG Hongbo;GENG Jiangqiao(Department of Otolaryngology,Hebei Children's Hospital,Shijiazhuang 050031,Hebei,China;Department of Otolaryngology,Sanya Maternal and Child Health Hospital,Sanya 572022,Hainan,China)

机构地区：[1]河北省儿童医院耳鼻咽喉科,河北石家庄050031 [2]三亚市妇幼保健院耳鼻喉科,海南三亚572022

出　　处：《中南医学科学杂志》2023年第4期537-540,共4页Medical Science Journal of Central South China

基　　金：河北省医学科学研究课题计划项目(20210839)。

摘　　要：目的分析分泌性中耳炎(OME)伴腺样体肥大患儿鼓膜置管(TTI)联合腺样体切除术后的复发因素。方法选取本院接受TTI联合腺样体切除术治疗的80例OME伴腺样体肥大患儿为研究对象,根据术后复发情况将其分为复发组与未复发组,采用单因素及多因素Logistic回归分析OME伴腺样体肥大患儿行TTI联合腺样体切除术后复发的影响因素。结果80例患儿术后复发13例,复发率16.25%。两组年龄、伴反复呼吸道感染、过敏性鼻炎、乳突气化不良、腭裂、腺样体肥大程度、扁桃体肥大程度、鼓室积液性状及置管后留置时间差异有统计学意义(P<0.05)。年龄、伴反复呼吸道感染、过敏性鼻炎、乳突气化不良、腭裂、腺样体肥大程度、鼓室积液性状是腺样体肥大伴OME患儿术后复发的影响因素(P<0.05)。结论年龄<6岁、伴反复呼吸道感染、过敏性鼻炎、乳突气化不良、腭裂、腺样体肥大程度为Ⅲ°~Ⅳ°、鼓室积液黏稠是OME伴腺样体肥大患儿行TTI联合腺样体切除术后复发的危险因素。Aim To analyze the recurrence factors of secretory otitis media(OME)combined with adenoid hypertrophy in children after tympanostomy tube insertion(TTI)combined with adenoidectomy.Methods Eighty children with OME with adenoid hypertrophy who received TTI combined adenoidectomy in our hospital were selected as research subjects,and divided into relapse group and non-recurrence group according to postoperative recurrence.The factors affecting the recurrence of OME and adenoid hypertrophy children after TTI and adenoidectomy were analyzed by single factor and multiple factor Logistic regression.Results Among the 80 children,there were 13 cases with postoperative recurrence,and the recurrence rate was 16.25%.There were statistically significant differences in age,recurrent respiratory tract infection,allergic rhinitis,poor mastoid gasification,cleft palate,adenoid hypertrophy,tonsil hypertrophy,tympanitic effusion,indwelling time after catheterization between the two groups(P<0.05).Age with recurrent respiratory tract infection,allergic rhinitis,dysplasia of mastoid,cleft palate,adenoid hypertrophy,tympanic effusion were influence factors for postoperative recurrence of adenoid hypertrophy with OME(P<0.05).Conclusion Age<6 years,recurrent respiratory tract infection,allergic rhinitis,poor mastoid gasification,cleft palate,degree of adenoid hypertrophyⅢ°-Ⅳ°,and tympanitic effusion(viscous)are independent risk factors for recurrence after TTI combined adenoidectomy in children with OME and adenoid hypertrophy.

关 键 词：腺样体肥大 分泌性中耳炎 鼓膜置管术 腺样体切除术 复发 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]