儿童腺样体切除术后分泌性中耳炎的最佳恢复期

The optimal recovery period of secretory otitis media in children after Paeddiatric Adenoidectomy

目的:分析腺样体切除术治疗儿童分泌性中耳炎的临床疗效,探讨术后分泌性中耳炎的最佳恢复期。方法:选取我院2012年6月~2015年6月间收治的儿童分泌性中耳炎合并腺样体肥大患者79例(132耳),行腺样体切除术,分别在术后1月、3月、6月对疗效进行评价。结果:腺样体切除术后1月痊愈13例(9.8%)、有效32例(24.2%)、无效87例(65.9%);术后3月痊愈82例(62.1%)、有效29例(22.0%)、无效21例(15.9%);术后6月痊愈111例(84.1%)、有效17例(12.9%)、无效4例(3.0%),术后6月的痊愈例数显著高于术后3月和1月,术后3月的痊愈例数显著高于术后1月,差异均具有统计学意义。术后1月、3月、6月的总有效率分别为34.1%、84.1%和97.0%,3者间比较差异均具有统计学意义。期间有效率为术后1月~3月最高(50.0%),其次是术后1月内(34.1%),再次则是术后3月~6月(12.9%),且3者间比较差异均具有统计学意义。结论:腺样体切除术治疗儿童分泌性中耳炎具有极好的临床疗效,术后1月~3月是儿童腺样体切除术后分泌性中耳炎的最佳恢复期,到术后6月前均要注意分泌性中耳炎的恢复。

Objective To investigate the clinical effect of Paeddiatric Adenoidectomy in the treatment of secretory otitis media in children, and the optimal recovery period after surgery. Methods select 79 cases(132 ears) of children with Secretory otitis media in children with adenoid hypertrophy admitted in our hospital from June 2012 to June 2015, and perform adenoidectomy. Clinical effect was evaluated 1 month, 3 months and6 months after surgery. Results after Paeddiatric Adenoidectomy, 13 cases(9.8%) recovered, 32 cases responded(24.2%) and 87 cases did not respond(65.9%) 1 month after surgery; 82 cases(62.1%) recovered, 29 cases responded(22.0%), 21 cases did not respond(15.9%) 3 months after surgery; 111 cases recovered(84.1%), 17 cases responded(12.9%), 4 cases did not respond(3.0%) 6 months after surgery. The number of recovered cases 6months after surgery was significantly higher than those of 3 months and 1 month after. The number of recovered cases 3 months after surgery is significantly higher than that of 1 month after, and the difference is considered of statistical significance. Overall response rates 1 month, 3 months and 6 months after surgery are 34.1%, 84.1% and 97.0% respectively, and their differences are of statistical significance. Among which, the response rate from 1 month to 3 months after surgery is the highest(50.0%), and that within 1 month after surgery(34.1%) comes second, and that from 3 monts to 6 months after sugery(12.9%) is the lowest, and differences among the 3 numbers are of statistical significance. Conclusion Paeddiatric Adenoidectomy for the treatment of children with secretory otitis media has excellent clinical efficacy, and the optimal recovery period is from 1 month to 3 months after surgery, and attention should be paid till 6 months after surgery to recovery of secretory otitis media with otitis media secretion.