儿童腺样体肥大与分泌性中耳炎的相关性研究

Correlation between adenoid hypertrophy and secretory otitis media in children

目的分析儿童腺样体肥大伴分泌性中耳炎的发病情况及腺样体切除术后分泌性中耳炎的转归。方法 1382例腺样体肥大的儿童行腺样体切除手术前后经鼻咽侧位片、声导抗检测及电测听检查,统计分析伴分泌性中耳炎发生率及其与腺样体肥大的关系。结果 1382例中腺样体肥大合并分泌性中耳炎患者892耳,腺样体切除术后3个月复查,合并分泌性中耳炎患儿中治愈528耳(59.19%),好转298耳(33.41%),总有效率达92.60%。结论腺样体过度肥大是儿童分泌性中耳炎的一大诱因,鼻内镜下切除肥大腺样体治疗分泌性中耳炎,疗效明确,具有重要的临床意义。

ObjectiveTo determine the incidence of secretory otitis media （SOM） in children with adenoid hypertrophy and prognosis of SOM after adenoidectomy.Methods1382 children with adenoid hypertrophy treated with adenoidectomy were included. They were tested with lateral nasopharyngeal radiograph, acoustic impedance test and pure tone test before operation. The incidence of SOM was calculated and the correlation between adenoid hypertrophy and SOM was analyzed statistically.ResultsOf all the 1382 cases, SOM was confirmed in 479 children （892 ears） with an incidence rate of 34.66%. Three months after adenoidectomy, 528 ears were cured （59.19%, 528/892）, and 298 ears got improved （33.41%, 298/892） with a total effective rate of 92.60%.ConclusionAdenoid hypertrophy is a major cause of SOM in children. With advantages of simplicity, good effect and rare complications, endoscopic adenoidectomy plays an important role in the treatment of pediatric SOM.