SOM及慢性鼻-鼻窦炎患儿咽鼓管咽口及其周围形态的改变的意义

The significance of pharyngeal ostium of eustachian tube and its surrounding the morphological changes in children with SOM and chronic rhinosinusitis

目的:探讨分泌性中耳炎(SOM)及慢性鼻-鼻窦炎患儿咽鼓管咽口及其周围形态的改变的意义。方法:选取2015年2月~2016年1月在本院就诊的儿童分泌性中耳炎患者50例85耳,慢性鼻窦炎患者42例74耳,无SOM及慢性鼻窦炎儿童20例40耳做为对照,比较三组研究对象咽鼓管咽口形态构成,咽鼓管咽口周围病理构成和纯音听力异常率的差异。结果:三组研究对象咽鼓管咽口形态分布的差异均无统计学意义;三组研究对象的咽鼓管咽口周围病理变化为粘脓性分泌物覆盖咽口的分别有34耳(40.0%)、27耳(36.48%)、0耳(0%),为腺样体肥大压迫咽口的分别有31耳(36.47%)、29耳(39.18%)、0耳(0%),SOM组和慢性鼻窦炎组的粘脓性分泌物覆盖咽口和腺样体肥大压迫咽口的发生率明显高于对照组,且差异具有统计学意义;SOM组听力异常率(36耳,42.35%)和慢性鼻窦炎组听力异常率(33耳,44.59%)明显高于对照组(3耳,7.50%),且差异具有统计学意义。结论:分泌性中耳炎及慢性鼻窦炎患者咽鼓管咽口周围病理异常率以及纯音听力异常率均高于正常。

Objective To investigate the significance of pharyngeal ostium of eustachian tube and its surrounding the morphological changes in children with SOM and chronic rhinosinusitis. Methods 50 cases(85 ears) of children with secretory otitis media, 42 cases(74 ears) of children with chronic rhinosinusitis and 20 cases(40 ears) of children without SOM and chronic rhinosinusitis were selected in our hospital from February 2015 to January 2016, compared the difference of Pharyngeal ostium of eustachian tube, the pharyngeal ostium of the eustachian tube around pathology and pure tone hearing abnormal rate among the three groups of subjects. Results Three groups of subjects in distribution of eustachian tube differences were not statistically significant; The pharyngeal ostium of the eustachian tube around pathology of purulent secretions cover the throat in the three groups respectively were 34 ears(40.0%), 27 ears(36.48%), 0 ear(0%), the adenoid hypertrophy of the mouth respectively were 31 ears(36.47%), 29 ears(39.18%) and 0 ears(0%), the incidence of purulent secretions cover the throat and adenoid hypertrophy of the mouth in the SOM group and chronic sinusitis group were significantly higher than that of the control group, and the difference was statistically significant; The hearingabnormal rate in the SOM group(36 ears, 42.35%) and chronic sinusitis group(33 ears, 44.59%) were significantly higher than those of the control group(3 ears, 7.50%), and the difference was statistically significant. Conclusion The pharyngeal ostium of the eustachian tube around the pathological abnormality rate and pure tone hearing abnormal rate in the secretion otitis media and chronic sinusitis patients were higher than normal.