摘要
目的探讨儿童分泌性中耳炎手术治疗方法和效果。方法对74例(112耳)患有分泌性中耳炎的儿童在内镜下行腺样体切除术和鼓膜切开或置管术,随访半年以上并评价其治疗效果。结果术后患儿的听力和中耳功能明显好转,总有效率为93.8%(102/112);53耳语言频率气导平均听阈为(13.5±5.1)dB,气骨导差为(7.5±4.9)dB,两者和术前相比较差异有显著性(P<0.05);行鼓膜切开术组有效率为92.7%(51/55);加鼓膜置管组有效率为94.7%(54/57),两组之间相比较差异无显著性(P>0.05)。结论对患有分泌性中耳炎的儿童进行有效的手术治疗,有利于保护儿童的听力和中耳功能,防止中耳炎后遗症的发生。
[Objectives] To investigate the surgical treatment methods and effects on non-supparative otitis media in children.[Methods] 74 children （112 ears） suffering from chronic non-suppurative otitis media were conducted adenoidectomy and myringotomy or myringotomy with tube insertion under endoscopy,they were follow-up more than half year,and the results were evaluated.[Results] The hearing and middle ear function in children had significant improvement post-operative,the total effective rate was 93.8% （102/112）;Air conduction hearing threshold of speech frequency average were （13.5±5.1） dB,air-bone gap were （7.5 ±4.9） dB,they also had significant difference compared with preoperative （P 0.05）;the effective rate was 92.7% （51/55） in myringotomy group,and it was 94.7% （54/57） in myringotomy with tube insertion group,there was no significant difference between the two groups （P 0.05）.[Conclusion] To practice effective surgical treatment on children with chronic non-suppurative otitis media is conducive to the protection of children＇s hearing and middle ear function,and to prevent the occurrence of otitis media sequelae.
出处
《中国内镜杂志》
CSCD
北大核心
2011年第4期377-379,共3页
China Journal of Endoscopy
关键词
内镜
儿童
分泌性中耳炎
手术治疗
endoscopy
non-supparative otitis media
surgical treatment
