儿童腺样体肥大与分泌性中耳炎病因的关系探讨

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (4): 23-.

儿童腺样体肥大与分泌性中耳炎病因的关系探讨

陈洽鑫，张志钢，郑亿庆

中山大学附属第二医院耳鼻喉头颈外科，广州 510120

收稿日期:2009-12-03 修回日期:2010-03-28 出版日期:2010-08-16 发布日期:2010-08-16
通讯作者: 张志钢，主要从事中耳听力重建和小耳畸形方面的研究。Email：Zhangzz0369@126.com
作者简介:陈洽鑫(1984)，男，硕士研究生，主要从事中耳方面的临床研究。

Adenoid hypertrophy and etiology of secretory otitis media in child

CHEN Qia-xin,ZHANG Zhi-gang，ZHENG Yi-qing

Department of Otolaryngology ＆ Head and Neck Surgery,The Second Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510120, China

Received:2009-12-03 Revised:2010-03-28 Online:2010-08-16 Published:2010-08-16

摘要/Abstract

摘要：

目的探讨腺样体肥大与儿童分泌性中耳炎（SOM）病因的关系，提高对两者关联性疾病的认识。方法回顾分析诊断有分泌性中耳炎、腺样体肥大、慢性扁桃体炎、小儿鼾症或阻塞性睡眠呼吸暂停综合征的住院儿童742例的资料，进行统计分析。结果 742例中有173例SOM，SOM中伴腺样体肥大的有65例，而腺样体肥大(包括伴有SOM)有570例，腺样体肥大中发生SOM的机率为11.40%。结论单纯腺样体肥大不是引起SOM的主要因素，儿童SOM是多种因素综合导致的结果。

关键词: 腺样体肥大；分泌性中耳炎；睡眠呼吸障碍，阻塞性；儿童

Abstract:

Objective To expand the understandings of secretory otitis media (SOM) in children by investigating its causes. Methods Restrospecitve analysis was made on children with SOM, adenoid hypertrophy, chronic tonsillitis, snoring or obstructive sleep apnea syndrome, who were hospitalized from January 2003 to December 2008. Results Among 742 cases, there were 173 SOM and 570 adenoidal hypertrophy. 65 cases suffered from the both. The prevelance of SOM in adenoidal hypertrophy cases was 11.4%. Statistical analysis was further performed. Conclusion Adenoid hypertrophy is not one major factor attributed to SOM in children while various factors should account for.

Key words: Adenoid hypertrophy; Secretory otitis media; Sleep apnea syndrome,obstructive; Child

中图分类号:

R765.9

陈洽鑫，张志钢，郑亿庆. 儿童腺样体肥大与分泌性中耳炎病因的关系探讨[J]. 山东大学耳鼻喉眼学报, 2010, 24(4): 23-.

CHEN Qia-xin,ZHANG Zhi-gang，ZHENG Yi-qing. Adenoid hypertrophy and etiology of secretory otitis media in child[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(4): 23-.

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