儿童分泌性中耳炎伴腺样体肥大的疗效观察

Observation on curative effects of secretory otitis media with adenoid hypertrophy in children

目的比较单纯腺样体切除术和腺样体切除加鼓膜置管术治疗儿童分泌性中耳炎(secretory otitis media,SOM)合并腺样体肥大的疗效。方法将58例SOM合并腺样体肥大患者随机分为A、B两组,A组行单纯腺样体切除术,B组行腺样体切除加鼓膜置管术,术后随访6～12个月,观察两组疗效。结果术后3个月A组有效44耳,无效10耳,有效率81.48%,B组有效51耳,无效4耳,有效率92.73%,两组比较差异无统计学意义(P>0.05)。术后6个月A组有效51耳,无效3耳,有效率94.44%,B组有效54耳,无效1耳,有效率98.18%,两组比较差异无统计学意义(P>0.05)。结论单纯腺样体切除术及腺样体切除加鼓膜置管术均是SOM合并腺样体肥大的有效治疗方法,对临床治疗具有重要意义。

Objective To compare the curative effects between pure adenoidectomy and adenoidectomy with tympanostomy tube insertion for treating secretory otitis media（SOM）） complicating adenoid hypertrophy in children.Methods 58 cases of SOM complicating adenoid hypertrophy were randomly divided into group A and B.The group A was treated by pure adenoidectomy excision,while the group B was treated by adenoidectomy with tympanostomy tube insertion.All cases were followed up for 6-12 months and the curative effects in two groups were observed.Results After three months of operation,44 ears in the group A were effective,10 ears were invalid with the effective rate of 81.48%,while 51 ears in the group B were effective and 4 ears were invalid with the effective rate of 92.73%.No statistical difference existed between the two groups（P0.1）.After six months,51 ears in the group A were effective and 3 ears were invalid with the effective rate of 94.44%,while 54 ears in the group B were effective and 1 ear was invalid with the effective rate of 98.18%,showing statistical difference between them（P0.05）.Conclusion Both pure adenoidectomy and adenoidectomy plus tympanostomy tube insertion are effective treatment methods of secretory otitis media complicating adenoid hypertrophy,which have the important meaning for clinical treatment.