小儿慢性分泌性中耳炎T型管置入的临床研究

Clinical research of T tube implantation on children with chronic otitis media

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.