耳内镜下鼓膜置管术结合鼻内镜手术治疗儿童分泌性中耳炎

Grommet insertion under endotoscope combined with nasoendoscopic surgery in treatment of secretory otitis media in children

目的探讨耳内镜下鼓膜置管术治疗儿童分泌性中耳炎的优点及疗效。方法2002-01～2005-06采用耳内镜电视监视系统行鼓膜切开置管术78例125耳,同时行鼻内镜手术进行病因治疗,观察听力康复情况。术后所有病例随访8-13个月,观察疗效。结果122耳听力明显提高,疗效显著,3耳复发,纯音测听0.5,1.0,2.0kHz听阈平均提高22.5dB。结论耳内镜下鼓膜切开置管术视野清晰、创伤小,增加了手术的安全性和准确性,对患儿听力提高疗效显著,是治疗儿童分泌性中耳炎安全有效的手术方法。

Objective To discuss the advantages and curative effects of grommet insertion under endotoscope in treatment of children’s secretory otitis media. Methods Grommet insertion was performed in 125 ears of 78 cases under endotoscope with TV monitoring systems in January 2002 to June 2005.And nasoendoscopic surgery were performed as well.The recovery of hearing ability were observed.The patients were followed up for 8-13 months after operations. Results The hearing ability in 122 ears were improved effectively,and relapsed in 3 ears.Audibility threshold increased by 22.5 dB at 0.5,1.0 and 2.0 kHZ of pure tone test. Conclusion Grommet insertion under endotoscope has advantages of good visibility and small wounds,and could improve the safety and accuracy of operation and the hearing ability of patients.It will be an effective operation to treat secretory otitis media in children.