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, 陈继昌   

  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
[1] 张国民,王茂华,高松,吴文斌,虞幼军. 持续灌流模式耳内镜下粘连性中耳炎手术疗效分析[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 16-19.
[2] 宋瑾,尹慧,高娴,李永团. 坏死梭杆菌致成人中耳炎并发脑膜炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 96-100.
[3] 周莹,王刚,王磊,张晓丽,韩浩伦,李保卫,孙喆喆,吴玮. 咽喉反流相关中耳炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 131-135.
[4] 樊永将,黄卫,何成山,沈海涛,徐正,郝亚楠. SARS-CoV-2感染后成人急性分泌性中耳炎细胞因子水平分析[J]. 山东大学耳鼻喉眼学报, 2024, 38(2): 1-6.
[5] 钟佳珂,王柏杨,伊海金. 以耳部症状首发、合并鼻咽占位的肉芽肿性多血管炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 6-14.
[6] 孙艳,姚浩,顾黎安. 布地奈德联合盐酸氨溴索鼓室内注射治疗成人分泌性中耳炎的疗效研究[J]. 山东大学耳鼻喉眼学报, 2022, 36(6): 77-82.
[7] 高信忠, 林宗通, 沈翎, 刘平凡, 林兴, 许杨杨. 咽鼓管球囊扩张联合腺样体切除术治疗儿童分泌性中耳炎疗效分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 7-12.
[8] 焦雪梅,杨扬,李春凤,张晓琳. 鼓膜置管对分泌性中耳炎患儿咽鼓管功能的影响[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 60-63.
[9] 吴华,孙永明,郑建华,蔡雪花. 腺样体消融联合鼓膜打孔术治疗儿童腺样体肥大合并分泌性中耳炎55例[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 71-75.
[10] 王海霞,张彩霞,李银银,郑金秀,陈曦. 经鼓室注射内耳钆造影显影不良原因初探[J]. 山东大学耳鼻喉眼学报, 2020, 34(5): 61-66.
[11] 魏馨雨,杨方园,杨军,张青. 耳源性细菌性迷路炎研究进展[J]. 山东大学耳鼻喉眼学报, 2020, 34(5): 102-107.
[12] 林宗通,沈翎,杨中婕. 腺样体大小及圆枕类型对儿童分泌性中耳炎的影响[J]. 山东大学耳鼻喉眼学报, 2020, 34(5): 121-126.
[13] 许玲, 孙岩. 三叶因子家族在中耳呼吸型黏膜上皮的研究进展[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 93-98.
[14] 曹鑫,伊海金,李欣,许嘉,高娟娟. 分泌性中耳炎合并突发性聋三例并文献复习[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 56-61.
[15] 倪菁,雷飞,白丹,周韵,马建梅,黄伟,王春阳. 儿童分泌性中耳炎耳积液中免疫相关指标表达分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(4): 56-59.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!