山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (5): 121-126.doi: 10.6040/j.issn.1673-3770.0.2020.209
林宗通,沈翎,杨中婕
摘要: 目的 探讨腺样体大小及圆枕类型对儿童分泌性中耳炎的影响。 方法 选择120例分泌性中耳炎患儿为病例组,同期体检的正常儿童120例为对照组,对2个组儿童进行听力及电子鼻咽镜检查,比较两组腺样体大小、圆枕类型的差异及与听力损失程度的相关性。 结果 病例组Ⅲ~Ⅳ度腺样体及Ⅱ~Ⅲ型圆枕的比例均为77.5%,明显高于对照组的37.5%、46.7%,发病风险明显高于本组Ⅰ~Ⅱ度腺样体及Ⅰ型圆枕,差异有统计学意义(P<0.05)。对两组的腺样体大小、圆枕类型行趋势χ2检验,差异有统计学意义(P<0.05)。但病例组腺样体大小及圆枕类型与听力损失程度无相关性(r值分别为0.135、0.049,P值均>0.05)。 结论 腺样体肥大及Ⅱ~Ⅲ型圆枕是儿童分泌性中耳炎的危险因素。腺样体及圆枕类型的常规检查和评估,有助于儿童分泌性中耳炎的尽早诊治。
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