腺样体切除治疗小儿分泌性中耳炎疗效观察

目的探讨腺样体切除治疗小儿分泌性中耳炎的机理、时机及疗效。方法选择保定市第二医院2010年7月至2012年7月间收治并确诊为腺样体肥大所致分泌性中耳炎患儿78例,其中手术治疗42例、非手术治疗36例,对比分析采用两种方法的治疗效果。结果手术组治疗后总有效率97.62%,非手术组治疗后总有效率83.33%,两组治疗后有效性差异有统计学意义。结论腺样体切除术后有利于咽鼓管功能恢复、听力改善,术后复发率低,是治疗儿童分泌性中耳炎的有效方法。

Curative observation on treating secretory otitis media in children by secretory excision

Objective To discuss the mechanism, time and curative effects in treating secretory ostitis media in children by secretory excision. Methods 78 children admitted into our hospital from July 2010 to July 2012 were selected and diagnosed to be secretory ostitis media because of secretory hypertrophy, among those, 42 received surgery treatment and 36 got non surgery treatment. We compared the treatment effects for those two methods. Results The total efficiency for surgery treatment was 96.62%, and the total efficiency for non surgery treatment was 83.33%, there was great diffidence for the two kind of treatment methods. Conclusion It is benefit for function recovery of eustachian tube, audition improvement after the secretory excision. And the relapse rate is very low, so it is an efficient method for the treatment of secretory ostitis media in children.