腺样体低温等离子消融同时行与不行鼓膜置管对分泌性中耳炎疗效的影响

田磊; 陈向军; 李国义

doi:10.13201/j.issn.1001-1781.2015.05.009

腺样体低温等离子消融同时行与不行鼓膜置管对分泌性中耳炎疗效的影响

- 湖北医药学院附属太和医院耳鼻咽喉科(湖北十堰, 442000)

详细信息

通讯作者: 李国义,E-mail:livv_007@sina.com

中图分类号: R764.21

收稿日期: 2014-09-23

The clinical curative effect of the low temperature plasma ablation adenoidectomy and tympanic membrane indwelling catheter in parallel or not used on childhood patients with secretory otitis media

- Department of Otolaryngology, Taihe Hospital, Hubei University of Medicine, Shiyan, 442000, China

More Information

Corresponding author: LI Guoyi, E-mail: livv_007@sina.com

Received Date: 23 September 2014

摘要

摘要: 目的: 探讨内镜监视下低温等离子刀行腺样体消融并单纯鼓膜切开不行鼓膜置管和并鼓膜置管2种方法对治疗儿童分泌性中耳炎伴腺样体肥大的疗效。方法: 分析52例分泌性中耳炎伴腺样体肥大患儿的临床资料,术前均常规行内镜、鼻咽X线侧位片、内耳CT及声导抗检查明确诊断;分别在内镜监视下行低温等离子刀手术切除腺样体并行鼓膜切开不置管(A组)与并行鼓膜切开加置管(B组),术后观察统计2种方法治疗分泌性中耳炎的疗效。结果: A组30例(58耳),治愈36耳,好转14耳,无效8耳,有效率为86.2%;B组22例(40耳),治愈32耳,好转6耳,无效2耳,有效率为95.0%;2组疗效比较差异无统计学意义(P>0.05)。结论: 内镜监视下低温等离子刀行腺样体切除术加鼓膜切开引流可减少鼓膜置管次数,减少鼓膜穿孔的风险。
- 腺样体肥大 /
- 等离子刀腺样体消融术 /
- 鼓膜置管 /
- 中耳炎 /
- 伴渗出液
Abstract: Objective: To observe the clinical effect of endoscope-guided low temperature plasma ablateing adenoidectomy with tympanic membrane incision drainage and tympanic membrane indwelling catheter to treat secretory otitis media of children.Method: Fifty-two cases(98 ears) of secretory otitis media in children with adenoid hypertrophy were treated. Respectively endoscope-guided tympanic membrane incision drainage parallel low temperature plasma ablateing adenoidectomy and endoscope-guided tympanic membrane indwelling catheter parallel low temperature plasma ablateing adenoidectomy.Result: In group A, 30 cases of 58 ears, cure 36 ears, improving 14 ears, invalid 8 ears, the effective rate was 86.2%. In group B,22 cases of 40 ears, cured 32 ears, improvement in 6 ears, invalid 2 ears, the effective rate was 95.0%. According to statistical analysis of curative effect, there was no significant difference by effective rate between two groups.Conclusion: For the patients with secretory otitis media caused by adenoidal hypertrophy,the endoscope-guided tympanic membrane incision drainage parallel low temperature plasma ablateing adenoidectomy can be regarded as a kind of method to reduce the risk of tympanic membrane perforation.
- adenoid hypertrophy /
- adenoidectomy with plasma ablation /
- tympanic membrane indwelling cathe-ter /
- otitis media /
- secretory

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