腺样体肥大伴发分泌性中耳炎与腺样体鼻咽比率相关性研究

A retrospective Analysis of A/N Ratio in Children with Adenoid Hypertrophy Associated with Secretory Otitis Media

目的分析腺样体肥大伴发分泌性中耳炎患儿的A/N(Adenoid-nasopharyngeal ratio)比值特点。方法采用回顾性队列研究方法,对2017年3月-2018年7月因腺样体肥大于我科就诊并行手术治疗的296例患儿的腺样体A/N比值进行综合分析,将伴有分泌性中耳炎的患儿分为试验组,没有伴发分泌性中耳炎的分为对照组,总结A/N比值特点。结果 296例患儿中47例伴有分泌性中耳炎患儿的平均A/N比值为(0.859±0.048),249例无分泌性中耳炎的患儿的平均A/N比值为(0.746±0.030),差异具有统计学意义(P=0.000)。结论伴发分泌性中耳炎患儿的A/N比值更高,这提示当腺样体A/N比值过高时可能更容易发生分泌性中耳炎,建议及时治疗。

Objectives To report the A/N(adenoid-nasopharyngeal ratio) ratio in children with adenoid hypertrophy associated with secretory otitis media. Methods This is a retrospective cohort study involving 296 children with adenoid hypertrophy seen in our clinic from March 2017 to July 2018. Children with secretory otitis media were allocated into the study group, while those with no secretory otitis media included as the control group. The A/N ratio was characteried. Results Among the 296 children, the mean A/N ratio was 0.859 ± 0.048 for children with secretory otitis media and 0.746 ± 0.030 for children without secretory otitis media(P=0.000). Conclusion The A/N ratio is higher in children with secretory otitis media, suggesting that children with high A/N ratios are more prone to suffer secretory otitis media,demanding timely treatment.