摘要
目的:探讨腺样体切除在治疗分泌性中耳炎的疗效。方法:对73例伴腺样体肥大的分泌性中耳炎患儿行腺样体切除术。其中,51例行腺样体刮除术,22例行鼻内镜下吸切器腺样体切除术。并对两种手术方法的病例分组,把两组治疗前、后声阻抗图结果和纯音测听结果进行χ2检验。结果:声阻抗图转变“A”型,刮除组有效率80.4%,吸切组81.8%;纯音测听结果,刮除组平均听阈提高(15.44±2.72)dB,吸切组平均听阈提高(18.71±4.2)dB,经χ2检验均无显著差异。结论:腺样体切除对治疗分泌性中耳炎起到了重要作用。传统的腺样体刮除术和鼻内镜下吸切器腺样体切除术均为有效方法,没有显著差异。
Objective： To evaluate the effect of adenoi - dectomy on secretory otitis media. Methods： 73 cases of secretory otitis media performed adenoidectomy, including 51 Curettage of adenoids and 22 adenoidectomy with nasal endoscope. Based on Surgerical methods, 73 cases were divided into two groups. Before and after treatment, the data of the acoustic impedance chart and audiological test were analyzed by x^2 test. Results： The rate of transformed type A in acoustic impedance chart was 80.4 % in group with Curettage of adenolds and 81.8 % in group with adenoidectomy with nasal endoscope. The value of average auditory threshold increased by （15.44 - 2.72）dB in group with Curettage of adenoids and（18.71 - 4.2）dB in group with adenoidectomy with nasal endoscope, showed no difference between two group. Conclusion： Adenoidectomy plays important role in treating secretory otitis media. The routine Curettage of adenoid and adenoidectomy with nasal endoscope are effective There is no difference in therapeutic effect between above two techniques.
出处
《内蒙古医学杂志》
2007年第4期387-388,共2页
Inner Mongolia Medical Journal
