鼓膜置管术治疗小儿分泌性中耳炎

Secretory otitis media in children treadted by myringotomy with grommet insertion

目的 探讨提高小儿分泌性中耳炎（SOM）疗效水平的方法。方法120例（202耳）小儿SOM均行鼓膜置管术。对有腺样体及扁桃体肥大患儿同时行腺样体刮除和（或）扁桃体切除术,有鼻窦炎者行抗炎引流治疗。结果120例患儿术后随访6～12个月,106例听力明显改善（占88.3％）,纯音听阈声导抗检查基本恢复正常疗效。结论 对小儿SOM及时行置管等综合治疗,可以获得显著。

Objective To explore better therapy to improve the therapeutic effect for secretory otitis media (SOM) in children. Methods 120 children cases (202 ears) with SOM were all treated by myringotomy with grommet insertion. Then the cases with hypertrophy of tonsils and adenoids were supplemented by adenotonsillectomy, and those with sinusitis were supplemented by antio-inflammation and draining therapy. Results All cases were followed up for 6-12 monthes after the end of treatment. Among them, 106 cases were cured (88.3%), with hearing significantly improved and tympanogram becoming normal. Conclusion Secretory otitis media in children can be cured only if treated properly with synthetic therapy.