联用两种手术治疗小儿腺样体肥大所致分泌性中耳炎的效果研究

Effect of two kinds of operation on secretory otitis media caused by aden oid hypertrophy in children

目的:探讨联用耳内镜下CO_(2)激光鼓膜打孔术和低温等离子腺样体切除术对腺样体肥大所致分泌性中耳炎患儿进行治疗的效果。方法:选取耳鼻喉科收治的60例腺样体肥大所致分泌性中耳炎患儿作为研究对象。采用随机数表法将这些患儿分为对照组和研究组。为对照组患儿联用传统腺样体切除术和鼓膜穿刺术进行治疗,为研究组患儿联用耳内镜下CO_(2)激光鼓膜打孔术和低温等离子腺样体切除术进行治疗。比较对两组患儿进行腺样体切除术的总有效率、分泌性中耳炎治疗的总有效率、手术的时间、手术后并发症的发生率及手术后婴幼儿有意义听觉整合量表(IT-MAIS)的评分。结果:对两组患儿进行腺样体切除术的总有效率相比,P>0.05。研究组患儿分泌性中耳炎治疗的总有效率、手术后IT-MAIS的评分均高于对照组患儿,P<0.05;其手术的时间短于对照组患儿,P<0.05;其手术后并发症的发生率低于对照组患儿,P<0.05。结论:联用耳内镜下CO_(2)激光鼓膜打孔术和低温等离子腺样体切除术对腺样体肥大所致分泌性中耳炎患儿进行治疗的效果较为理想,可有效地提高其患耳的听力,且安全性较高。

Objective:To investigate the efficacy of CO_(2) laser tympanotomy under otoscope combined with low-temperature plasma adenoidectomy for the treatment of secretory otitis media caused by adenoid hypertrophy in children.Methods:60 children with secretory otitis media caused by adenoid hypertrophy were selected as research objects.These children were divided into control group and study group by random number table method.The control group was treated with traditional adenoidectomy and tympanotomy,and the study group was treated with CO_(2) laser tympanotomy under otoscope and low-temperature plasma adenoidectomy.The total effective rate of adenoidectomy,the total effective rate of secretory otitis media treatment,the duration of operation,the incidence of postoperative complications and the score of postoperative Infant Meaningful Auditory Integration Scale(IT-MAIS)were compared between the two groups.Results:The total effective rate of adenoidectomy was compared between the two groups,P>0.05.The total effective rate and IT-MAIS score in the study group were higher than those in the control group(P<0.05).The operation time was shorter than that of the control group,P<0.05;The incidence of postoperative complications was lower than that of control group,P<0.05.Conclusion:Combined with CO_(2) laser tympanotomy under otoscope and low-temperature plasma adenoidectomy,the treatment effect of secretory otitis media caused by adenoid hypertrophy is relatively ideal,which can effectively improve the hearing of the affected ear with high safety.