腺样体切除对儿童分泌性中耳炎的影响

Adenoidectomy for the otitis media with effusion in children

目的探讨腺样体切除对儿童分泌性中耳炎疗效的影响。方法将伴有腺样体肥大的80例分泌性中耳炎儿童,随机分为两组。A组:手术切除腺样体,扁桃体肥大者同时切除扁桃体,同时全身应用抗生素治疗,并用局部类固醇激素鼻腔喷雾治疗。B组:除不手术切除腺样体、扁桃体外,其他治疗同A组。结果 A组:40例,治愈31例,显效6例,有效2例,无效1例,总有效率97.5%。B组:40例,治愈15例,显效16例,有效5例,无效4例,总有效率90.0%。两组比较P<0.01,差异有显著性。结论儿童分泌性中耳炎伴有腺样体肥大的患儿,手术切除腺样体对分泌性中耳炎的治疗有明显的意义。

【Objective】 To study the treatment effect of the adenoidectomy for the secretary otitis media in children.【Methods】 80 cases of children patients with otitis media and adenoid hypertrophy were randomly divided into experimental group and control group on average.Experimental group were treated with adenoidectomy and the medicatomy on therapy.Control group were treated only with medicatomy.The therapeutic effects were compared and analyzed after operation.【Results】 31 cases in experimental group recovery;6 cases with a significant effect,2 cases with small effect,1 case were in vain,the total effective rate was 97.5%;15 cases in the control group recovery 16 cases with a significant effect,5 cases with small effect and 4 cases in vain,the total effective rate was 90%.The treatment effect in two groups showed significant differences（P 0.05）.【Conclusion】 The adenoidectomy for the otitis media with effusion in children showed significant effect and high security,so it deserves popularization and application in clinical practice.