Nd∶YAG激光治疗伴有腺样体肥大分泌性中耳炎的方法和疗效

Treatment of Otitis Media with Effusion by Nd∶YAG Laser in Children with Enlarged Adenoid

目的探讨激光治疗伴有腺体样肥大分泌性中耳炎的方法和疗效。方法32例(49耳)伴有腺体样肥大分泌性中耳炎的患儿,手术切除部分腺样体后,全部在内镜下用Nd∶YAG激光对残存腺样体进行照射;对9例17耳进行激光鼓膜切开术,其他23例32行耳鼓膜穿刺冲洗。随访3个月。结果术后1个月腺样体无明显残留;分泌性中耳炎49耳的治愈率、好转率及无效率分别为57.2%(28耳)、28.6%(14耳)和14.2%(7耳),无严重并发症发生。结论Nd∶YAG激光治疗伴有腺体样肥大的分泌性中耳炎安全有效。

Objective To study the curative method and therapeutic outcome of otitis media with effusion（OME） in patients with enlarged adenoid. Methods All 32 patients （49 ears） with enlarged adenoid underwent adenoidectomy, the residues were irradiated by Nd：YAG laser; 17 ears underwent laser myringotomy, the other 32 ears underwent auripuncture and rinse. The follow-up periods were 3 months. Results There were no residues of adenoid after a month of operation; the cure rate, remission rate and invalid rate of 49 ears of otitis media with effusion was 57.2% （30 ears） ,28.6% （14 ears）and 14. 2% （5 ears）. No severe complication took place. Conclusions Treatment of otitis media with effusion by Nd ： YAG laser in children with enlarged adenoid is safe and effective.