斜口型鼓膜通气管治疗小儿分泌性中耳炎并发症

Grommet Tympanostomy Tube Insertion Complications in Children with Otitis Media with Effusion

目的探讨斜口型鼓膜通气管治疗小儿分泌性中耳炎(OME)并发症的发生率。方法选取2007年8月--2008年9月间因分泌性中耳炎于我科使用斜口型鼓膜通气管行鼓膜置管术患儿156人(男72人,女84人,共299耳),术后于门诊随访6月-5年,观察鼓膜通气管留置时间及术后并发症发生率。结果术后耳漏发生率5.7%,肉芽形成发生率1.0%。通气管排出后的并发症包括鼓膜硬化(35.1%)、鼓膜穿孔(4.6%)、鼓膜萎缩(22.1%)、鼓膜内陷(19.1%)、通气管异位(0.7%)。鼓膜通气管平均留置时间为11.5月。结论鼓膜置管术术后并发症比较常见,其中鼓室硬化、鼓膜萎缩和耳溢液最常见,但总的来说它们大多数是不需要处理的。

Objective To investigate complications in children with otitis media with effusion who were treated with grommet tympanostomy tube insertion. Methods From August 2007 to September 2008, 156 patients （72 males and 84 fe-males, 299 ears） with otitis media with effusion who received grommet tympanostomy tube insertion were consecutively en-rolled. They were followed up six months to five years after the operation for the time of tube extrusion and other complications. Results Otorrhea occurred in 17 ears （5.7%）. Granulation tissue was found in 3 ears （1%）. Complications after tympanostomy tube extusion included tympanosclerosis （35.1%）, persistent perforation （4.6%）, atrophy （22.1%）, retraction（19.1%） and medi-al displacement of tubes （0.7%）. The average tube extrusion time was 11.5 months. Conclusion Complications in tympanosto-my tube insertion are common. Tympanosclerosis, tympanic membrane atrophy and otorrhea are the most frequently happening complications. But in the majority of these complications, there is no need for any management.