鼓膜置管术和鼓膜切开术治疗小儿分泌性中耳炎的效果比较

目的探讨鼓膜置管术和鼓膜切开术治疗小儿分泌性中耳炎的临床效果,并将结果进行比较。方法选取在我院诊治的分泌性中耳炎患儿90例,根据数字随机法分成观察组和对照组,观察组采用鼓膜置管术治疗,对照组采用鼓膜切开术治疗,将两组临床效果进行比较。结果 3~6个月观察组总有效率97.78%,对照组总有效率80.85%,观察组总有效率高于对照组,差异有统计学意义(P<0.05)。>6个月观察组总有效率85.00%,对照组总有效率61.90%,观察组总有效率高于对照组,差异有高度统计学意义(P<0.01)。观察组并发症总计发生率为9.23%,对照组并发症总计发生率为4.41%,观察组并发症总计发生率与对照组比较,差异无统计学意义(P>0.05)。结论鼓膜切开术与鼓膜留置术各有优劣,对分泌性中耳炎患儿的治疗方式选择应根据患儿的病情、病史判断。

Comparison of effect of tympanostomy tube and myringotomy in treatment of pediatricsecretory otitis media

Objective To explore the clinical effect of tympanostomy tube and myringotomy in treatment of pediatric secretory otitis media. Methods A total of 90 children with secretory otitis media in our hospital were divided into ob- servation group and the control group according to the digital random method. Results The patient of observation group were treated by tympanostomy tube and patient of control group were treated by myringotomy.The clinical effect of two groups was compared . The total effective rate of observation group in 3~6 months （97.78%） was significantly higher that of control group （80.85%） （P〈0.05）.The total effective rate of observation group in more than 6 months （85.00%） was significantly higher that of control group（61.90%） （P〈0.01）.The total complications incidence of observation group （9.23%） was significantly lower that of control group （4.41%） without significant differences （P 〉0.05）. Conclusion The tympanostomy tube and myringotomy have its pros and cons,the selection of treatment for pediatric secretory otitis media should be based on the illness and medical history of patients.