摘要
目的:探讨不同年龄腭裂患儿鼓膜置管术对分泌性中耳炎恢复的影响。方法:不同年龄伴分泌性中耳炎的腭裂患儿同时进行腭裂整复术及鼓膜切开置管术,术后半年进行鼓膜检查和声导抗测试,并对年龄构成相匹配,只行腭裂整复术的患儿术后进行同样的检查。结果:同时行鼓膜切开置管术的患儿术后分泌性中耳炎的相关指标与只行腭裂整复术的患儿比较差异有统计学意义。同时行鼓膜切开置管术患儿年龄较小组术后分泌性中耳炎指标与较大年龄组比较,差异有统计学意义。结论:鼓膜切开置管术对腭裂患儿的中耳功能恢复起着积极的意义,且手术年龄越小,中耳功能恢复程度越好。伴分泌性中耳炎的腭裂患儿应在早期行腭裂整复术的同时进行鼓膜切开置管术。
Objective：To study the effect of tympanostomy tube surgery in cleft palat children with secretory otitis media（SOM）.Method：Cleft palat children complicated by SOM accepted palatoplasty combined tympanostomy tube surgery,and evaluated by tympanum examination,acoustic immittance measurement in the post-operation.The others with suited age constitute,who accepted palatoplasty only,received the same testing too.Result：Compared with children who accepted palatoplasty only,the correlated index of SOM in post-operation of children who accepted palatoplasty combined with tympanostomy tube surgery had more improvements,there was a statistically significant difference between them.The recovery degree of middle ear function in younger group was better than elder group,there was a statistically significant diference between them.Conclusion：Tympanostomy tube surgery is helpful to increase cure rate of 0ME in children with cleft palat.The younger the patient is,the better the recovery degree of middle ear function will be.Palatoplasty combined with tympanostomy tube surgery should be an effective way in the management of cleft palate complicated by SOM,and good effect could be obtained when children accepted operation in early stage.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第22期1017-1019,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
湖南省卫生厅科研基金课题(No:B2008-031)
关键词
腭裂
鼓膜置管术
分泌性中耳炎
cleft palat
tympanostomy tube surgery
secretory otitis media
