腭裂修复术同期中耳置管治疗渗出性中耳炎

Cleft palate repair and treatment of oozing medial otitis simultaneously

目的 了解腭裂修复同期鼓膜切开中耳置管 ,对腭裂渗出性中耳炎及听力损失的治疗作用。方法 选择在腭裂修复前作声阻抗检查鼓室图为B型 ,声镫骨肌反射阴性 ,脑干听觉诱发电位检查V波反应阈≥ 3 0dB的患儿 76例 ,随机分为置管组与常规组 ,置管组为行腭裂修复同期中耳置管 4 5例 ;常规组为单纯行腭裂修复 3 1例。术后两周分别进行鼓室图、脑干听觉诱发电位检查 ,并进行统计学处理。结果 置管组术前术后V波反应阈平均值 ,听力损失及鼓室图均有显著性 (P <0 .0 0 1 ) ,常规组术前术后V波反应阈平均值、听力损失及鼓室图均无显著性 (P >0 .0 5) ,术前置管组与常规组V波反应阈平均值 ,听力损失及鼓室图差异无显著性 (P >0 .0 5) ,术后置管组与常规组两组V波反应阈平均值 ,听力损失及鼓室图差异有显著性 (P <0 .0 0 1 )。结论 中耳置管可作为腭裂渗出性中耳炎及听力损失的常规治疗手段 ,提高患者听力 ,避免粘连性中耳炎发生。

Objective To investigate the influence of cleft palate repair on the treatment of oozing medial otitis by placing drainage tube in the medial ear.Methods Select 76 patients in aconstic resistance examination showed tympanohyal drawing for B type before eleft palate repair,voice stirrup bone muscle reflex nagative,trancus encephali sense of hearing induced potential examination V-wave reaction ≥30dB.The patients were divided into two groups,contral (31 cases) and experimental group with tube placement (45 cases).Results In group A,pre-operation and post-operation V-wave reaction threshold average value,hearing lost and tympanohyal drawing had remarkable significance (P< 0.01 ).In the group B no remarkable significance (P> 0.05 ) was noted.The group A and B,V-wave reaction theshold average value,hearing lost and tympanohyal drawing were not significantly different (P> 0.05 ).Conclusion The tube placement in medial ear is an effective treatment method for cleft palate with ooze otitis.