分泌性中耳炎241例（402耳）临床分析

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1、分泌性中耳炎241例(402耳)临床分析【关键词】中耳炎，伴渗击液；腺样体肥大Secretoryotitismedia:241cases(402ears)reportHUANGHua,CHENFuQuan,SUNJingYu,SUYu,HUANGWeiGuoDepartmentofOtolaryngology,XijingHospital,FourthMilitaryMedicalUniversity,Xian710033,China[Abstract]AIM:Tostudytheaetiology,treatmentofsecretoryoti

2、tismedia(SOM)andtoevaluatethetreatmenteffect.METHODS:Theclinicaldataof241patients(402ears)withSOMfromJanuary2001toDecember2003wereretrospectivelyreviewed.Theywere132maleand109female,agedfrom2monthsto5years(86cases),6to10(97cases),11to15(41cases)and16to70(17cases).Amongthem161

3、casessufferedfrombilateralSOMand80theothersfromunilateralSOM.RESULTS:208cases(86.3%)complainedthesignsofearcomponent.TheoutcomeoftympanogramshowedapriorityforBtype.Thestaticcompliancevaluein319earswaslessthan0.4,78earsbetween0.4and1.4,and5earsmorethan1.4.Myringotomy,myringoto

4、mywithgrommetinsertionandlaseraidedmyringotomywereperformedon13,42and314ears,respectively.The163cases(67.6%)underwentadenoidectomyandthe115cases(47.7%)underwenttonsillectomy.CONCLUSION:AdenoidhypertrophyandblockageofEustachiantubeswithinfectionarethemostfrequentreasonsofSOMin

5、pediatricpopulation.AdenoidectomyshouldbeaneffectivewayinthemanagementofSOM.【Keywords]otitismediawitheffusion;adenoidvegetation【摘要】目的：分析分泌性中耳炎的病因、诊治方法及疗效评估.方法：冋顾性分析200101/200312收治分泌性中耳炎患者241例(402耳)，軀132例女性109例，空龄2mo~5岁86例,6〜10岁97例，11〜15岁41例,16~70岁17例.双耳发病161例，单耳80例.结果：耳部症状者20

6、8例(86.3%)；听力学检査：声阻抗以B型为主，静态声顺值v().4者319耳，0.4〜1.4者78耳，＞1.4者5耳；鼓膜切开术13耳，鼓膜切开置管术42耳，鼓膜激光打孔314耳，未能手术者33耳，手术加腺样体切除163例(67.6%),扁桃体切除115例⑷.7%).结论：腺样体肥人和咽鼓管阻塞合并感染是儿童分泌性屮耳炎的主要病因，手术切除压迫咽鼓管园枕的吧人腺样体可以取得明显疗效.【关键词】中耳炎，伴渗出液；腺样体肥大0引言分泌性中耳炎为耳鼻喉科儿童常见病[1],发病率逐年上升，在我科门诊被首诊为分泌性中耳炎患者占门诊量3.8%，收治量8%

7、,其门诊量已超过化脓性中耳炎(2.7%).第7次全国耳昂咽喉大会有关分泌性中耳炎的稿件甚少，不足10篇；第X次全国耳昂咽喉人会儿乎为零.所以进一步探讨该病的病因及相关因素、选择诊治方法、评估其疗效，是非常必要的.1对象和方法1.1对象200101/200312我科收治分泌性中耳炎患者241例、402耳.其中男性132例,女性109例,男：女=1.2:1.年龄:2mo-5岁86例,6〜10岁97例，11~15岁41例，16〜70岁17例.双耳发病161例、单耳80例、双比单=2：1.对本病的发生发展，回顾性分析诊断治疗的各个环节.1.2方法除耳鼻咽

8、喉常规检查以外，所以患者均行耳镜、电测听、声导抗检查，对軒症患儿行小儿纤维鼻咽喉镜检查.根据相关病因进行诊断并选择和应治疗方法：鼓膜切开