急性分泌性中耳炎临床分析

Clinical analysis of acute secretory otitis media

目的分析急性分泌性中耳炎的临床特点,为疾病鉴别诊断提供依据。方法选取医院2018年1月-2019年1月收治的急性分泌性中耳炎患者100例,对患者临床资料进行回顾性分析,并与急性中耳炎、粘连性中耳炎、脑脊液耳漏临床常见症状进行比较。结果急性分泌性中耳炎患者主要临床表现具有特异性。4种疾病听力下降发生率比较差异均无统计学意义(P>0.05);急性分泌性中耳炎轻度疼痛及闷胀、闭塞发生率均高于急性中耳炎、粘连性中耳炎、脑脊液耳漏,差异均有统计学意义(P<0.05)。结论急性分泌性中耳炎可与急性中耳炎、粘连性中耳炎、脑脊液耳漏等疾病混淆,临床需结合患者临床特点、声导抗测试、显微镜检查、CT影像等进行鉴别诊断,通过具有特异性的指标为诊疗提供依据,提升患者治疗效果和预后。

Objective To analyze the clinical characteristics of patients with acute secretory otitis media(ASOM), and to provide evidence for differential diagnosis. Methods 100 patients with acute secretory otitis media admitted to the hospital from January 2018 to January 2019 were retrospectively analyzed to obtain the specificity of the clinical manifestations of these diseases, and compared with the clinical common symptoms of acute otitis media, adhesive otitis media, cerebrospinal fluid otorrhea. Results The main clinical manifestations of acute secretory otitis media were specific. There was no significant difference in the incidence of hearing loss among the four diseases(P>0.05). The incidence of mild pain, swell and occlusion in patients with acute otitis media with otitis was higher than that of acute otitis media, otitis media with otitis media,and ear lobes, the differences were statistically significant(P<0.05). Conclusion Acute secretory otitis media can be confused with acute otitis media, adhesive otitis media, cerebrospinal fluid otorrhea and other diseases, it should be combined with clinical features, acoustic impedance test, microscopic examination, CT imaging, etc. for differential diagnosis, and provide specific indicators for diagnosis and treatment, based on the improvement of treatment effect and patient prognosis.