儿童与成人分泌性中耳炎的临床分析

Clinical Analysis of Secretory Otitis Media in Children and Adults

目的对儿童及成人分泌性中耳炎的病因、检查要点及治疗要点进行总结分析。方法选取2014年1～12月在我院接受治疗的分泌性中耳炎儿童患者30例（52耳）及成人患者42例（72耳）,回顾分析两组患者的临床资料与听力学检查结果。结果经检查可知,成人与儿童的气骨导听阈均提高,其中成人患者在高频4、8 k Hz的听阈较儿童提高者更加明显。在诱病原因上,儿童患者以呼吸道感染及腺样体肥大为主要原因;成人患者以鼻息肉及鼻咽部新生物为主要原因。结论儿童与成人分泌性中耳炎的发病原因存在一定的差异,在诊断及治疗时需加以区别,以改善患者预后,促进其更好的康复。

Objective To summarize and analyze the etiology, examination and treatment of secretory otitis media in children and adults. Methods In 30 cases（52 ears） and 42 adults（72 ears） with secretory otitis media（ears） and adults（ears） with secretory otitis media treated in our hospital from January 2014 to December 2014, Retrospective analysis of two patients with clinical and audiological examination results. Results After checking the air bone conduction thresholds of adults and children, including adults in high frequency 4, 8 k Hz were improved more obvious than children. Causes of induced disease, children with respiratory tract infections and adenoid hypertrophy as the main cause of the adult patients with nasal polyps and nasopharyngeal, the main reason for the new biological. Conclusion There are some differences in the incidence of secretory otitis media in children and adults. It should be distinguished in the diagnosis and treatment, so as to improve the prognosis of the patients and promote their better rehabilitation.