腺样体大小及圆枕类型对儿童分泌性中耳炎的影响

doi:10.6040/j.issn.1673-3770.0.2020.209

摘要/Abstract

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。

关键词: 腺样体, 咽鼓管圆枕, 分泌性中耳炎, 儿童, 听力损失, 电子鼻咽镜检查

Abstract: Objective To investigate the effects of the sizes of adenoids and the types of torus tubarius on secretory otitis media in children. Methods Between March 2018 and June 2019, 120 children with secretory otitis media with complete diagnosis and treatment data in our department were allocated to the case group, and 120 normal children with corresponding physical examination data were allocated to the control group. Hearing and electronic nasopharyngoscopy were performed for the two groups of children to compare their adenoid sizes and torus tubarius types as well as analyze the association between the sizes of the adenoids and the degree of hearing loss in the case group. Results The proportions of the ⅢⅣ adenoid sizes and the ⅡⅢ torus tubarius types were 77.5% and 77.5%, respectively, in the case group, which were higher than 37.5% and 46.7%, respectively, in the control group. The risk of disease was higher for the ⅠⅡ adenoid sizes and the I torus tubarius type, and the differences were statistically significant (all P<0.05). The chisquared test was performed to analyze the trends of the adenoid sizes and the torus tubarius types of the two groups, and the differences were also statistically significant (all P<0.05). However, there were no associations between the adenoid size and the torus tubarius type and hearing loss in the case group (r1= 0.135, r2 = 0.049, all P>0.05). Conclusion Adenoid hypertrophy and the ⅡⅢ torus tubarius types are risk factors for secretory otitis media in children. Routine examination and the evaluation of adenoids and the types of torus tubarius are helpful for early diagnosis of secretory otitis media in children.

Key words: Adenoid, Torus tubarius, Secretory otitis media, Children, Hearing loss, Electronic nasopharyngoscopy

中图分类号:

R764.21

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.

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