儿童腺样体肥大与分泌性中耳炎病因的关系

Adenoid hypertrophy and etiology of secretory otitis media in Children

目的探讨腺样体肥大与儿童分泌性中耳炎(SOM)病因的关系,提高对两者关联性疾病的认识。方法对有分泌性中耳炎、腺样体肥大、慢性扁桃体炎、小儿鼾症或阻塞性睡眠呼吸暂停综合征的住院儿童742例的资料,进行统计学分析。结果742例中有173例SOM,SOM中伴腺样体肥大的有65例,而腺样体肥大(包括伴有SOM)有570例,腺样体肥大中发生SOM的机率为11.40%。结论单纯腺样体肥大不是引起SOM的主要因素,儿童SOM是多种因素综合导致的结果。

Objective To expand the understandings of secretory otitis media （SOM） in children by investigating its causes. Methods Restrospecitve analysis was made on children with SOM, adenoid hypertrophy, chronic tonsillitis, snoring or obstructive sleep apnea syndrome, who were hospitalized from January 2003 to December 2008. Results Among 742 cases, there were 173 SOM and 570 adenoidal hypertrophy. 65 cases suffered from both. The prevalance of SOM in adenoidal hypertrophy cases was 11.4%. Statistical analysis was performed. Conclusion Adenoid hypertrophy is not a major factor attributed to SOM in children, so various factors should be accounted for.