鼓膜穿刺或鼓膜置管联合腺样体切除术治疗儿童分泌性中耳炎的疗效分析

栗子芳; 易世江; 王文华; 何晓松; 刘强和

doi:10.13201/j.issn.1001-1781.2018.05.016

鼓膜穿刺或鼓膜置管联合腺样体切除术治疗儿童分泌性中耳炎的疗效分析

- 1. 桂林医学院附属医院耳鼻咽喉头颈外科桂林医学院耳鼻咽喉头颈外科研究所(广西桂林, 541001)

详细信息

通讯作者: 何晓松,E-mail:hexiaosonggx@sina.com

中图分类号: R764.21

收稿日期: 2017-11-06

The efficacy comparation of adenoidectomy with acupuncture and tympanonstomy in children secretory otitis media

- Department of Otolaryngology Head and Neck Surgery, the Affiliated Hospital of Guilin Medical College, Guilin, 541001, China

More Information

Corresponding author: HE Xiaosong, E-mail: hexiaosonggx@sina.com

Received Date: 06 November 2017

摘要

摘要: 目的:通过对比腺样体切除术联合鼓膜穿刺(AT+A)与腺样体切除术联合鼓膜置管(AT+T)对分泌性中耳炎患儿的疗效和预后,总结2种治疗方法的利弊,给出临床使用建议。方法:选取2015-03-2016-03期间收治的280例分泌性中耳炎患儿,其中采用AT+A 172例,采用AT+T 108例。根据治疗时和随访过程中调查到的2组的治疗效果、中耳积液时间及术后1年的随访情况,对比2组治疗方法是否有差异。结果:2组患儿在治疗1个月后的平均情况都比较好,随时间增加而好转。2组鼓膜情况无显著区别,但AT+T组在纯音听力和鼓膜室图方面都显著优于AT+A组。AT+T组的中耳积液时间显著性小于AT+A组。在术后1年的随访调研中,听力下降项2组无明显差异。在中耳炎复发率、感染率和总发生率中AT+T组都显著性小于AT+A组。结论:AT+T在多方面指标中的表现都优于AT+A,故对于顽固或中重度分泌性中耳炎患儿,在经济条件允许和家长配合情况下,外科治疗应首选AT+T。
- 儿童 /
- 分泌性中耳炎 /
- 鼓膜穿刺 /
- 鼓膜置管
Abstract: Objective:This study aims to the comparative study of AT+A (adenoidectomy with acupuncture) and AT+T (adenoidectomy with tympanonstomy tube) to monitor and compare the therapeutic effect and prognosis of secretory otitis media in children. The study make a summary and give the clinical suggestions as well.Method:We collected and analyzed 280 outpatients of children secretory otitis media from March 2015 to March 2016.Among them,172 cases took the adenoidectomy with acupuncture and 108 cases took the adenoidectomy with tympanonstomy tube. This research used the therapeutic effect indicators, middle ear effusion time and one year follow-up to evaluate the pros and cons of two surgery methods in different areas.Result:The patients of both groups had relatively good therapeutic effect which promoted with time. There were no significant difference between AT+A and AT+T in tympanic membrane. While AT+T group acted better than AT+A group in pure tone average and tympanum figure. The middle ear effusion time of AT+T group was significantly shorter than AT+A group. In one-year follow-up, there were no difference in hearing loss between two groups. But AT+T group performed better in recurrence rate, infection rate and total rate.Conclusion:Since the adenoidectomy with tympanonstomy tube method has a lot of advantages over adenoidectomy with acupuncture, it's better to use AT+T in severechildren secretory otitis media when situation is available.
- children /
- otitis media with effusion /
- adenoidectomy with acupuncture /
- adenoidectomy with tympanonstomy tube

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参考文献(7)

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