儿童肥大腺样体切除术与分泌性中耳炎预后的关系

目的 探讨儿童肥大腺样体切除术对分泌性中耳炎预后的影响.方法 对2012年4月至2013年4月来我院就诊的120例伴有腺样体肥大的分泌性中耳炎患儿进行研究,随机分为观察组60例（药物治疗＋鼻内镜下吸切器腺样体切除术）和对照组60例（单纯药物治疗）,观察治疗30天及12个月后两组的有效率,分别进行治疗前后纯音测听分析,探讨肥大腺样体切除术对分泌性中耳炎预后的影响.结果 治疗后30 d,两组有效率相比差异无统计学意义（P＞0.05）;而治疗后12个月,观察组有效率显著高于对照组,差异具有统计学意义（P＜0.05）.纯音测听结果显示,治疗后30 d,观察组与对照组纯音测听结果相比差异无统计学意义（P＞0.05）,治疗后12个月,观察组听力提高较对照组显著,差异具有统计学意义（P＜0.05）.结论 腺样体切除术对治疗分泌性中耳炎具有重要的作用,且治疗过程安全,复发率低,治愈的效率高,预后良好,在临床实践过程中,值得推广这种治疗方法.

Relationship of Children Hypertrophy adenoidectomy and prognosis of Secretory Otitis Media

Objective To investigate the effect of children hypertrophy adenoidectomy on the prognosis of patients with secretory otitis media （SOM）. Methods 120 cases of SOM patients with adenoid hypertrophy treated in our hospital from April 2012 to April 2013 were selected and randomly divided into observation group （drug therapy ＋ endoscopic instrunent adenoidectomy） and control group （only drug therapy）, with 60 cases in each group. The effective rate of two groups after 30 days and 12 months of the treatment was observed, the pure tone test （PTA） of two groups before and after the treatment was conducted, the effect of hypertrophy adenoidectomy on the prognosis of SOM was explored. Results After 30 days of the treatment, the effective rate of two groups had no significant difference （P〉0.05）; after 12 months of the treatment, the effective rate of two groups had statistical difference （P 〈0.05）. PTA showed that the results of two groups after 30 days of the treatment had no significant difference （P〉0.05）; after 12 months of the treatment, the hearing degree of the observation group was improved significantly than that of the control, with statistical difference （P 〈0.05）. Conclusions Adenoidectomy plays an important role in the treatment of secretory otitis media, with safe treatment process, lower recurrence rate, higher cure efficiency and better prognosis, which deserves promotion in clinical practice.