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A Comparative Study of Ear Diseases in School Children from Lower versus Higher Socioeconomic Status
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作者 Yohanna Mairiga Takwoingi Mohammed Bello Fufore +3 位作者 Abubakar Umar Gabsari Emmanuel Musa Wuni Ari Thimnu Isah Abdullahi 《International Journal of Otolaryngology and Head & Neck Surgery》 2021年第2期107-118,共12页
<strong>Background:</strong> Preventable otologic conditions have been found to be important health issues among paediatric age group. Poor socioeconomic status and inappropriate management services in dev... <strong>Background:</strong> Preventable otologic conditions have been found to be important health issues among paediatric age group. Poor socioeconomic status and inappropriate management services in developing countries lead to various complications despite the fact that most of these diseases are self-limiting. The aim of this study was to determine the prevalence and pattern of ear diseases in school children of high and low socioeconomic status in Yola, Nigeria. <strong>Methods:</strong> This study was conducted in March 2017 in two primary schools (private and public) in Yola among 6 - 8 years old pupils. Approval for the study was obtained from Federal Medical Centre, Yola and consent was obtained from the parents/guardians and the school authorities. Using a health questionnaire, a brief ENT history was obtained from children in years 1 and 2 of each school. Otoscopic examination, audiometry and tympanometry were then carried out. Data collected was analysed using SPSS version 20. <strong>Results:</strong> One hundred and three children were studied. The age range was 6 - 8 with mean age of 6.8 ± 0.9 and 53 (51.5%) boys. Fifty-two (50.5%) were from public school (low socio-economic class) and 51 (49.5%) from private (high social class). Wax was the most common ear condition encountered affecting 37 (35.9%) children, and the number was similar in both groups. Otitis media with effusion (OME) was encountered in seven children evenly split between the two groups showing a point incidence of 6.8%. There was hearing loss in 13 (12.6%) children, and this was also similar in the two groups. <strong>Conclusion:</strong> Wax impaction was the commonest otologic disease encountered. Our study also showed a point incidence of 6.8% for OME, but there was no statistical difference between the two groups, and neither was there any statistically significant difference between the two groups in any of the other diseases encountered. 展开更多
关键词 Children glue-ear Hearing Loss Social Status WAX
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巴曲霉治疗胶耳的临床观察 被引量:2
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作者 石丽亚 王向阳 莫志峰 《中国实用医药》 2009年第25期56-57,共2页
目的探讨巴曲霉对胶耳的疗效。方法对30例(30耳)确诊为胶耳患者随机分为两组,试验组(DF-521):中耳腔注射DF-5215BU;对照组(地-糜组):地塞米松注射液5mg、糜蛋白酶5mg混合液中耳腔注入;每周1次,共治疗4~8次。结果试验组:... 目的探讨巴曲霉对胶耳的疗效。方法对30例(30耳)确诊为胶耳患者随机分为两组,试验组(DF-521):中耳腔注射DF-5215BU;对照组(地-糜组):地塞米松注射液5mg、糜蛋白酶5mg混合液中耳腔注入;每周1次,共治疗4~8次。结果试验组:总有效率为:93.75%;对照组:总有效率为:21.43%,两组之间差异有统计学意义(P〈0.01)。结论DF-521在治疗胶耳中是一种较理想的药物。 展开更多
关键词 分泌性中耳炎 胶耳 巴曲霉(DF-521)
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儿童胶耳综合治疗效果观察(附79例报告)
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作者 陈陵 唐安洲 周永 《广西医学》 CAS 1998年第4期521-523,共3页
用综合治疗方法治疗小儿胶耳79例155耳,平均随访16个月,有效率为84.5%;
关键词 胶耳 分泌性中耳炎 综合疗法 儿童
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鼻内镜下综合治疗慢性泪囊炎 被引量:1
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作者 石尧机 庞永明 +5 位作者 李辉 赵杰 S.ALHOUDA CHITOU ALLASSANE MAAZOU HALIDOU ISSA ANGO 《北方药学》 2014年第10期76-78,共3页
目的:观察鼻内镜下三种不同方法治疗慢性泪囊炎所需的手术时间、出血量及效果。方法:98例慢性泪囊炎分为三组,A组28例(31眼)在鼻内镜下应用膨胀海绵行鼻腔泪囊吻合造口术(置管),B组33例(35眼)鼻内镜下应用银夹、膨胀海绵行鼻腔泪囊造口... 目的:观察鼻内镜下三种不同方法治疗慢性泪囊炎所需的手术时间、出血量及效果。方法:98例慢性泪囊炎分为三组,A组28例(31眼)在鼻内镜下应用膨胀海绵行鼻腔泪囊吻合造口术(置管),B组33例(35眼)鼻内镜下应用银夹、膨胀海绵行鼻腔泪囊造口术(不置管),C组37例(40眼)在鼻内镜下联合应用眼光导纤维、电刀、丝裂霉素C(mitomycin C,MMC)、耳脑胶及明胶海绵行鼻腔泪囊造口术(不置管),三组所需的手术时间、出血量及疗效进行对比分析。结果:平均手术时间、平均出血量及有效率(6个月、12个月)分别是A组、B组、C组。结论:鼻内镜下联合应用内光导纤维引导,电刀、丝裂霉素c和耳脑胶及明胶海绵行鼻腔泪囊造口术,能减少手术时间,出血少,疗效好、复发率低,是一种操作简单、安全可靠、经济、快速、实用、疗效好的方法。 展开更多
关键词 鼻内窥镜 慢性泪囊炎 泪囊鼻腔造口术 光导纤维 耳脑胶
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Association of asymptomatic otitis media with effusion in patients with adenoid hypertrophy 被引量:4
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作者 Vadisha Bhat Ivan Paraekulam Mani +3 位作者 Rajeshwary Aroor Marina Saldanha M.K. Goutham Deepika Pratap 《Journal of Otology》 CSCD 2019年第3期106-110,共5页
Objective: Clinical symptoms of otitis media with effusion are rarely brought forward to the guardians of young children who the disease is most prevalent in. This often leads to poor scholastic performances and diffi... Objective: Clinical symptoms of otitis media with effusion are rarely brought forward to the guardians of young children who the disease is most prevalent in. This often leads to poor scholastic performances and difficult social interactions. The objective of this study was to identify asymptomatic cases of otitis media with effusion present in individuals with adenoid hypertrophy. Material and Methods: In a cross sectional study advocated in Justice K.S.Hegde Hospital, Karnataka India we evaluated one hundred patients above the age of three from August 2016 to December 2017. Candidates who presented with an adenoid nasopharyngeal ratio of more than 0.5 were selected for the study. Individuals who complained of otological symptoms were not considered for the study. Patients cleared of other pathological otological conditions were underwent audiological evaluation with pure tone audiometry and tympanometry for evaluating the middle ear status and hearing loss. Results: The study showed a total of 36% of patients evaluated presented with asymptomatic otitis media with effusion. In candidates who presented with a bilateral B tympanogram, 40% had significant conductive hearing loss of more than 25dB. Conclusion: An objective test such as impedance audiometry in all patients with adenoid hypertrophy would aid in the diagnosis of fluid in the middle ear, so that timely intervention can be done and possible complications be averted. 展开更多
关键词 OME ADENOID HYPERTROPHY OTITIS media with EFFUSION Hearing loss in children glue ear
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耳内镜下生物羊膜行鼓膜修补术治疗外伤性鼓膜穿孔的临床研究 被引量:7
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作者 张强 《中国医药科学》 2015年第14期198-200,共3页
目的 探讨耳内镜下生物羊膜行鼓膜修补术治疗外伤性鼓膜穿孔的临床疗效。方法 选取我院2010年1月~2014年1月收治入院的100例鼓膜外伤性穿孔患者,根据穿治疗方法不同将患者分为两组,观察组50例采用耳内镜下生物羊膜行鼓膜修补术治疗,对照... 目的 探讨耳内镜下生物羊膜行鼓膜修补术治疗外伤性鼓膜穿孔的临床疗效。方法 选取我院2010年1月~2014年1月收治入院的100例鼓膜外伤性穿孔患者,根据穿治疗方法不同将患者分为两组,观察组50例采用耳内镜下生物羊膜行鼓膜修补术治疗,对照组50例采用保守治疗,观察两组临床疗效,并进行统计学分析。结果 观察组共治愈42例(90%),其中小穿孔和中穿孔所有患者均全部治愈,总有效率为100.0%;对照组治愈28例(56.0%),其中小穿孔14例,中穿孔8例,好转16例(32.0%),无效6例(12.0%)。观察组治愈率明显高于对照组,差异有统计学意义(P〈0.05)。观察组治愈的42例,愈合时间8~30d,平均(11.5±7.0)d;对照组治愈28例,愈合时间13~60d,平均(30.0±9.3)d。观察组鼓膜穿孔愈合时间明显短于对照组,差异有统计学意义(P〈0.05)。两组穿孔直径较大者,愈合时间均较长,但观察组3例治愈,4例好转,对取得的治疗效果自我满意,对照组3例无效,3个月后行颞肌筋膜修补鼓膜。结论 耳内镜下生物羊膜行鼓膜修补术治疗外伤性鼓膜穿孔安全、有效。 展开更多
关键词 生物羊膜 外伤性鼓膜穿孔 耳内窥镜 生物胶
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胰肠吻合方法的探索 被引量:3
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作者 朱震宇 黄志强 《中国普外基础与临床杂志》 CAS 2012年第4期368-371,共4页
目的探讨胰肠吻合的新方法,降低胰瘘等并发症发生的概率。方法通过可吸收止血网带及耳脑胶的灵活使用,行改良无缝合的胰管空肠吻合术10例,观察手术完成情况;术后监测血常规、血淀粉酶和脂肪酶以及引流液淀粉酶和脂肪酶水平;术后1个月处... 目的探讨胰肠吻合的新方法,降低胰瘘等并发症发生的概率。方法通过可吸收止血网带及耳脑胶的灵活使用,行改良无缝合的胰管空肠吻合术10例,观察手术完成情况;术后监测血常规、血淀粉酶和脂肪酶以及引流液淀粉酶和脂肪酶水平;术后1个月处死动物观察胰肠吻合口情况并取局部组织行病理学检查。结果 10例动物的手术时间为(35±10)min,其中9例术后恢复顺利并一直存活,腹腔引流液及血淀粉酶和脂肪酶均正常;另1例动物并发胰瘘,于术后第2天开始出现明显腹胀,腹水淀粉酶升高达10 000 u/L,术后第10天死亡,经解剖发现胰管支撑管脱落,胰腺周围感染。结论改良无缝合胰管空肠吻合术与传统胰肠吻合术式对比,同样可以控制胰瘘发生的几率,但手术更简便、实用;该术式有望成为胰腺吻合的常规手术方法之一。 展开更多
关键词 胰管空肠吻合术 胰瘘 可吸收网带 耳脑胶
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耳脑胶联合美蓝在胸腔镜诊治肺部小阴影中的应用
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作者 李钢 丛伟 甘崇志 《中国实用外科杂志》 CSCD 北大核心 2014年第S1期22-24,共3页
目的探讨耳脑胶联合美蓝在胸腔镜诊治肺部周围型小阴影中的应用价值。方法回顾性分析四川省人民医院2012年12月至2013年7月收治的8例肺部周围型小阴影病人的临床资料,所有病人均于术前1 h在CT室进行定位。于CT引导下行经皮肺穿刺,在肺... 目的探讨耳脑胶联合美蓝在胸腔镜诊治肺部周围型小阴影中的应用价值。方法回顾性分析四川省人民医院2012年12月至2013年7月收治的8例肺部周围型小阴影病人的临床资料,所有病人均于术前1 h在CT室进行定位。于CT引导下行经皮肺穿刺,在肺部小阴影内注入美蓝,并在阴影外周注入医用耳脑胶作为硬化示踪剂进行定位。术中通过阴影处肺表面硬度和(或)颜色进行定位,必要时通过手指扪诊定位,术中均行肺叶楔形切除,送冰冻检查。结果本组8例病人术前均成功行肺穿刺注入耳脑胶及美蓝,术中均顺利定位阴影。无病人出现刺激性咳嗽、气胸、血胸及严重胸膜反应等与本法相关的并发症。结论耳脑胶联合美蓝在肺部小阴影的诊治中具有定位准确、安全、方便、简单易行等优点,尤其适用于胸腔镜微创手术,值得临床推广。 展开更多
关键词 肺部小阴影 胸腔镜 耳脑胶 美蓝
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