分泌性中耳炎患儿腺样体切除术后听功能的随访研究

A follow-up study on auditory function in children with otitis media with effusion after adenoidectomy

目的回顾性分析分泌性中耳炎患儿腺样体切除术后听功能改善情况,为临床治疗提供参考。方法对2009年1月至2013年12月期间接受腺样体切除术的分泌性中耳炎患儿术后进行跟踪随访,记录听力学检测结果。平均随访2.5年,共56例随访资料完整并进入最终统计结果。结果与术前比较,术后2年,分泌性中耳炎患儿纯音气导听阈改变差异具有统计学意义(P<0.05);术后声阻抗结果显示,56例(112耳)中,2耳为"B"型,4耳为"C"型,7耳为"As"型,99耳为"A"型鼓室图;瞬态诱发耳声发射通过率94.6%(106/112)。结论腺样体切除术能有效改善分泌性中耳炎患儿听功能,综合治疗及术后跟踪随访至关重要。

Objective To analyze the auditory function of adenoidectomy on the treatment of children with otitis media with effusion （SOM） in two years in order to explore a strategy. Method A retrospective study was carried out among 56 cases underwent adenoidectomy from Jan. 2009 to Dec. 2013, a total of 56 cases with complete data were enrolled into this follow-up study. The medium duration of follow-up was 2.5 years .Auditory inspection results were analyzed before adenoidectomy and after treatment, then semiannually. Result 2years later, PTA improved （P〈0.05）; 4 ears were found among56 case （I 12ears）with type B tympanogram, 8 ears with type C, 10 ears with type As, 99 ears with type A; The pass rate of transiently evoked otoacoustic emission was 94.6%（106/ 112）. Conclusion Adenoidectomy can improve auditory function in children with otitis media with effusion （SOM）, further long-term follow-up studies and system therapy are needed.