山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (2): 77-80.doi: 10.6040/j.issn.1673-3770.0.2012.284

• 综述 • 上一篇    下一篇

儿童分泌性中耳炎诊疗规范化的探讨

敬尚林,林楠综述, 陈继昌审校   

  1. 柳州市妇幼保健院耳鼻喉科, 广西 柳州  545001
  • 收稿日期:2012-09-18 发布日期:2013-04-16
  • 作者简介:敬尚林,副主任医师。 Email: jshl9951@126.com

Standardization of diagnosis and treatment of otitis media with effusion in children

JING Shang-lin, LIN Nan, CHEN Ji-chang   

  1. Department of Otolaryngology, Liuzhou Women and Children’s Hospita, Liuzhou 545001, Guangxi, China
  • Received:2012-09-18 Published:2013-04-16

摘要:

分泌性中耳炎(OME)是以鼓室积液、传导性耳聋为主要特征的中耳非化脓性疾病,为儿童常见病之一,年龄越小发病率越高。儿童OME在病因、病程及临床表现等方面有其特殊性,如不合理诊治,可能会转化成粘连性中耳炎、鼓室硬化、胆固醇性肉芽肿等疾病,造成永久性听力损失,严重时会影响言语、智力的正常发育,造成严重不良后果。我们参考国内外此方面的研究进展,就儿童分泌性中耳炎的病因、发病机制、临床特点、诊治原则等进行深入探讨,同时推荐“个性化”的规范治疗方案,供临床参考。

关键词: 中耳炎, 伴渗出液;儿童;诊断;临床方案;规范

Abstract:

Otitis media with effusion (OME) is a non-suppurative disease of the middle ear which is mainly characterized as the tympanic effusion and conductive deafness. It is one common childhood diseases, and the younger the children are, the higher the incidence will be. Children’s OME has its own characteristics in terms of etiology, course and clinical manifestations. If improperly treated, it will deteriorate into adhesive otitis media, tympanosclerosis, cholesterol granuloma etc., which can cause the permanent hearing loss. In severe cases, it may affect the normal development of language and intelligence, resulting in serious adverse consequences. Based on the current progress in the reserch, we conducted a deep investigation on the pathogen, pathogenesis and clinical features of the OME  in children to provide the clinical information by recommending the individualized and standardized therapeutic strategy.

Key words: Diagnosis; Clinical protocols; Benchmarking, Otitis media with effusion; Children

中图分类号: 

  • R764.21
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