摘要
目的:观察腺样体和扁桃体切除加鼓膜切开置入T型通气管治疗小儿慢性分泌性中耳炎后,多长时间取出为宜、远期疗效如何及会带来何种不良后果等。方法:对118例(226耳)分泌性中耳炎患儿进行追踪观察和总结。结果:术后1、3、6、12个月拔管耳数分别为6、102、88、23耳,未拔管7耳(3%)。术后1周、2周、6个月、6个月后鼓膜愈合数分别为119、97、14、6耳。结论:T型管置入治疗小儿慢性分泌性中耳炎疗效确切,安全可靠,并发症较少,是目前较好的治疗方法;对伴慢性扁桃体炎及腺样体肥大者应同时行扁桃体加腺样体切除;利用声导抗测定咽鼓管功能,可作为拔管的重要依据,拔管时间宜在术后3个月左右为宜。
Objective:To study the appropriate time to take out T tube,long term effect and adverse consequence of children with chronic otitis media subjected to adenoidectomy and tonsillectomy plus tympanostomy.Method:One hundred and eighteen children with 226 ears operated were analyzed and summarized.Result: T tubes taken out at 1,3,6 and 12 month were 6,102,88 and 23 ears,respectively,and T-tubes were not taken outin 7 ears.Conclusion: At present,the treatment is curable and reliable with fewer complications.The appropriate time to take out the T-tube should be 3 months after the operation.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第13期607-608,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
儿童
中耳炎
伴渗出液
T型管置入
children
otitis media
secretory
T-tube insertion