腺样体、扁桃体切除术治疗儿童顽固性分泌性中耳炎的疗效分析

Outcomes of Stubborn Otitis Media with Effusion of Children After Adenotonsillectomy

目的:探讨腺样体、扁桃体切除术对儿童顽固性分泌性中耳炎(OME)的疗效。方法:对我院102例166耳保守治疗反复发作的顽固性OME患儿,经常规专科检查、鼻腔鼻窦CT检查确诊为腺样体肥大或(和)扁桃体肥大,行腺样体或腺样体+扁桃体切除术。并于术后随访过程中进行常规电耳镜检查及听力学检测,并结合症状改善情况对其进行疗效评估。结果:经6-12个月随访,治愈134耳(80.7%),有效21耳(12.7%),无效11耳(6.6%),总有效率为93.4%。结论:腺样体切除或腺样体+扁桃体切除术是治疗儿童顽固性OME的一种有效治疗手段。

Objective. To investigate the effects of adenoidectomy and tonsillectomy in the treatment of stubborn otitis media with effusion （OME）. Methods. The treatment of adenoidectomy or ade- noidectomy ＆ tonsillectomy was adopted in 102 patients （166 ears） diagnosed as stubborn adenoi- dal hypertrophy or （and） hypertrophy of tonsil by the specialized examination and nasal sinus conventional CT. Electric auriscope, audiologic examinations, and clinical observations were a- dopted to evaluate the outcomes after operation. Results. After follow up for 6 to 12 months, 134 ears were healed （80.7%）, 21 ears were effective （12.7%）, 11 ears were ineffective（6.6%）, and the total effective rate was 93.4%. Conclusion. Adenoidectomy or adenoidectomy ＆ tonsil- lectomy are effective in treating the stubborn otitis media with effusion of children.