摘要:目的:探討兒童分泌性中耳炎的臨床特點(diǎn)及不同治療方案的效果.方法:回顧性分析84例分泌性中耳炎患兒的臨床資料及其相關(guān)因素,并收集資料完整的22例做治療前后的對(duì)比。結(jié)果:84例患兒中有73.8%存在鼻咽或口咽部病變,另有繼發(fā)于感冒占8.33%,伴有先天性聽(tīng)力障礙占3.65%,例原因不明占總14.29%,鼓膜穿刺并置管同時(shí)切除增殖體病變后,聽(tīng)力顯著提高(P lt;0.05)。結(jié)論:對(duì)反復(fù)發(fā)作的SOM患兒應(yīng)行鼓膜置管,保留6個(gè)月以上,同時(shí)鼻咽和口咽部伴發(fā)病變應(yīng)引起臨床醫(yī)生的重視,積極處理相關(guān)疾病。
引用本文： 劉振武,黃安源. 小兒分泌性中耳炎的臨床分析. 華西醫(yī)學(xué), 2009, 24(7): 1631-1632. doi: 復(fù)制
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- 1. 閆承先.小兒耳鼻咽喉科學(xué)[M].天津:天津科學(xué)技術(shù)出版社,1985:192.
- 2. 商瑩瑩,倪道鳳.嬰幼兒分泌性中耳炎的診斷[J].中華耳鼻咽喉頭頸外科雜志,2006,41:631-633.
- 3. Neff MJ,AAP,AAFP,et al. AAP,AAFP,AAOHNS release guideline on diagnosis and management of otitis media with effusion[J]. Am Fam Physician,2004,69:2929-2931.
- 4. EMERY M,WEBER PC. Hearing loss due to myringotomy and tube placement and the role of preoperative audiograms [J]. Arch Otolaryngology Head Neck Surg,1998,124:417.
- 5. 高金建,陳迎迎,楊繼紅,等. 鼓室置管術(shù)失敗的相關(guān)因素分析[J]. 耳鼻咽喉頭頸外科,2001,6(31):368.