儿童慢性分泌性中耳炎的外科治疗

The curative effect observation of surgical treatment for secretory otitis media in children

目的 探讨儿童慢性、反复性分泌性中耳炎 (SOM)的手术效果。方法 对 4 3例 (79耳 )SOM施行鼻内窥镜下鼓膜置管术。结果 术后随访 6月至 2年 ,37例 (6 9耳 )症状全部消失 ,纯音测听及声导抗测试检查示听力曲线及鼓室功能曲线恢复正常 ,4例 (6耳 )听力改善 ,术后听力提高 (平均 17 0dB) ,2例 (4耳 )听力无改善 ;拔管后鼓膜穿孔 1例。结论 采用综合治疗方法治疗儿童SOM ,临床治愈率高。

Objective To study the effect of combined therapy on children's chronic and recurrent secretory otitis media(SOM). Methods Grommet insertions were performed for 43 cases (79 ears) by nasal endoscope combined with other auxiliary treatments.Results With follow-up of 6 to 24 months,37 cases (69 ears) were cured,while the tympanograms and the hearing threshold of pure-tone test returned to normal;4 cases (6 ears) were improved with the hearing average of 17dB and other 2 cases(4 ears) without improvement.Perforation of the tympanic membrane occurred in one case after detubation. Conclusion The clinical cure rate of combined therapy to treat chronic and recurrent SOM in children is high.