儿童分泌性中耳炎临床治疗分析

Clinical analysis of secretory otitis media(SOM)in children

目的:探讨腺样体肥大引起分泌性中耳炎的原因及手术疗效。方法:总结分析18例儿童腺样体肥大伴分泌性中耳炎患儿临床资料,观察手术治疗后效果情况。结果:所有病例随访半年以上,单纯鼓膜穿刺治疗7耳,有效率70%。鼓膜置管25耳治疗有效率92%。腺样体肥大术后复发1例。结论:内窥镜下腺样体吸切同时行鼓膜置管术对儿童分泌性中耳炎治疗效果最佳。

Objective：To investigate therapeutic effect of secretory otitis media（SOM）in children.Methods18 children cases of adenoid hypertrophy with SOM treated by adenoidectomy combined with surgery were retrospectively analyzed.ResultsAll the cases of OME were followed up at least 6months after operation.The effects of 7ears with puncture of tympanum were 70%,but the effects were 92%in 25 ears with tympanostomy tubes.A child was suffered from adenoid hypertrophy again after surgery.Conclusions：The therapeutic effect of transnasal endoscopic adenoidectomy combined with tympanostomy tubes is the best on adenoid hypertrophy with SOM.