鼓室置管术及相关处理治疗小儿分泌性中耳炎

The therapy of children with secretory otitis media by myringotomy with grommet insertion and the relevant management

目的 :提高对小儿分泌性中耳炎 (SOM)的诊疗水平。方法 :对 80例 (144耳 )小儿 SOM均行鼓室置硅胶管术 ,其中 30例同时行增殖体刮除和 (或 )扁桃体摘除术、10例行腭裂修复术、2 0例鼻窦炎患者行抗炎引流治疗。结果 :80例患儿随访 0 .5～ 1年 ,83%耳 (6 5例 12 0耳 )听力明显改善 ,纯音听阈 ,声导抗检查恢复正常。结论 :对 SOM的患儿应及时进行综合性治疗 ,方可改善听力。

Objective:To improve the diagnosis and treatment level of secretory otitis media(SOM) of children.Method:Clinical information of 80 children with SOM were colletcted and analysed.All of the 80 cases(144 ears)were treated by myringotomy with Grommet insertion.Among them,30 cases by adenotonsillectomy.10 cases by palatoplasty.Secretions of 54 ears were carded out by bacterial culture.Result:80 cases were followed up for 6 to 12 mothes.120 ears of 144 were cured(83%),with hearing improved.The tympanograms and hearing threshold of pure tone were found to be normal.The Gram′s positive and negative germs of bactevial culture were 20.7 %(6/29 samples)and 24%(6/25 samples)respectively.Conclusion:Children with secretory otitis media should be treated as early as posible to improve the patients′ hearing and develope their speech.