儿童与成人分泌性中耳炎的临床分析

Clinical analysis of secretory otitis media with effusion in adults and children

目的分析儿童与成人分泌性中耳炎在病因、检查结果等方面的特点。方法以46例(54耳)儿童与42例(49耳)成人分泌性中耳炎患者为研究对象,比较临床资料及听力学检查资料。结果儿童患者的病因以腺样体肥大和上呼吸道感染为最多,成人患者的病因以鼻息肉、鼻咽部新生物最常见。成人与儿童气骨导听阈均提高,尤其是成人骨导在高频2、4、8 k Hz听阈较儿童提高的尤为明显。结论儿童与成人分泌性中耳炎都可引起感音神经性聋,均应及时干预和诊治。

Objective To analyze the characteristic of adults and children with secretory otitis media on course of disease and test results. Methods Forty-six cases（54 ears） children and 42 cases（49 ears） adult patients with secretory otitis media were the objects of study. Clinical data and audiology were compared. Results Adenoid hypertrophy and infection of upper respiratory tract were the most common cause of children. Nasal polyps and nasopharyngeal neoplasm were the most common cause of adult. Air conduction threshold were increased. Adult bone conduction in the high frequency threshold（2, 4, 8 k Hz） was increased obviously in children. Conclusion Children and adult secretory otitis media can cause sensorineural hearing loss. Children and adult secretory otitis media should be timely intervention and treatment.