儿童腺样体肥大手术切除与分泌性中耳炎

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (3): 27-.

儿童腺样体肥大手术切除与分泌性中耳炎

鞠宏霜，马明忠，吴海英，伊纪亮

山东大学齐鲁医院桓台分院耳鼻咽喉科，山东桓台 256400

收稿日期:2010-04-05 修回日期:2010-05-25 出版日期:2010-06-16 发布日期:2010-06-16
作者简介:鞠宏霜（1963- ），女，副教授、副主任医师，科主任，主要从事耳鼻咽喉科临床工作。 Email:Juhs@163.com

Juvenile adenoidectomy and secretory otitis

JU Hongshuang, MA Mingzhong, WU Haiying, YI Jiliang

Department of Otolaryngology, Huantai Branch of Qilu Hospital, Shandong University, Huantai 256400, Shandong, China

Received:2010-04-05 Revised:2010-05-25 Online:2010-06-16 Published:2010-06-16

摘要/Abstract

摘要：

目的探讨手术治疗儿童腺样体肥大对分泌性中耳炎的影响。方法回顾分析手术治疗的腺样体肥大患儿206例，其中并发分泌性中耳炎97例136耳，观察手术治疗前后鼓室功能图的变化。结果腺样体切除术后，并发分泌性中耳炎患者得到有效治疗，其中治愈103耳；好转19耳；复发或无明显改善14耳，慢性中耳炎反复发作12耳，持续病程超过2年。结论分泌性中耳炎的转归与腺样体肥大的程度及临床病程的持续时间有关，腺样体切除术有利于咽鼓管功能的恢复。

关键词: 腺样体肥大；分泌性中耳炎；手术治疗

Abstract:

Objective To evaluate the relationships between the adenoidectomy and secretory otitis media in children. Methods A total of 206 children who underwent the surgical treatment of adenoidal hypertrophy were enrolled for retrospective analysis. The functional diagrams of tympanum were evaluated before and after adenoidectomy. Results The majority cases who suffered from secretory otitis media had be treated effectively, with 103 ears cured and 19 ears improved. Recurrence or no significant improvement occured in 14 ears, 12 cases suffered from recurred chronic otitis media for more than 2 years. Conclusion Recovery of secretory otitis media in children is closely related with the severity and duration of adenoidal hypertrophy. Adenoidectomy is effective to the recovery of eustachian tube′s function.

Key words: Adenoid hypertrophy; Secretory otitis media; Surgery

中图分类号:

R764.21

鞠宏霜，马明忠，吴海英，伊纪亮. 儿童腺样体肥大手术切除与分泌性中耳炎[J]. 山东大学耳鼻喉眼学报, 2010, 24(3): 27-.

JU Hongshuang, MA Mingzhong, WU Haiying, YI Jiliang. Juvenile adenoidectomy and secretory otitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(3): 27-.

参考文献

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