| 鼓室置管术及相关处理治疗小儿分泌性中耳炎 |
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| 引用本文： | 郑艳,徐丽蓉. 鼓室置管术及相关处理治疗小儿分泌性中耳炎[J]. 临床耳鼻咽喉头颈外科杂志, 2001, 15(4): 155-156 |
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| 作者姓名： | 郑艳 徐丽蓉 |
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| 作者单位： | 华西医科大学附属第一医院耳鼻咽喉科成都,610041;华西医科大学附属第一医院耳鼻咽喉科成都,610041 |
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| 摘 要： | 目的 :提高对小儿分泌性中耳炎 (SOM)的诊疗水平。方法 :对 80例 (144耳 )小儿 SOM均行鼓室置硅胶管术 ,其中 30例同时行增殖体刮除和 (或 )扁桃体摘除术、10例行腭裂修复术、2 0例鼻窦炎患者行抗炎引流治疗。结果 :80例患儿随访 0 .5～ 1年 ,83%耳 (6 5例 12 0耳 )听力明显改善 ,纯音听阈 ,声导抗检查恢复正常。结论 :对 SOM的患儿应及时进行综合性治疗 ,方可改善听力。
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| 关 键 词： | 儿童 分泌性中耳炎 鼓室 引流 |
| 文章编号： | 1001-1781(2001)04-0155-02 |
| 修稿时间： | 2000-07-06 |
The therapy of children with secretory otitis media by myringotomy with grommet insertion and the relevant management |
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| ZHENG Yan,Xu Lirong. The therapy of children with secretory otitis media by myringotomy with grommet insertion and the relevant management[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2001, 15(4): 155-156 |
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| Authors: | ZHENG Yan Xu Lirong |
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| Affiliation: | Department of Otolaryngology, First Affiliated Hospital of West China University of Medical Sciences, Chengdu 610041. |
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| Abstract: | OBJECTIVE: To improve the diagnosis and treatment level of secretory otitis media (SOM) of children. METHOD: Clinical information of 80 children with SOM were collected and analysed. All of the 80 cases (144 ears) were treated by myringotomy with Grommet insertion. Among them 30 cases by adenotonsillectomy. 10 cases by palatoplasty. Secretions of 54 ears were carded out by bacterial culture. RESULT: 80 cases were followed up for 6 to 12 months. 120 ears of 144 were cured(83%), with hearing improved. The tympanograms and hearing threshold of pure tone were found to be normal. The Gram's positive and negative germs of bacterial culture were 20.7% (6/29 samples) and 24% (6/25 samples) respectively. CONCLUSION: Children with secretory otitis media should be treated as early as possible to improve the patients' hearing and develope their speech. |
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| Keywords: | Child Secretory otitis media Tympanum Drainage |
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