儿童分泌性中耳炎的外科治疗

  目的  比较儿童分泌性中耳炎常用手术方式的临床疗效。  方法  选取北京协和医院2009年1月至2011年9月收治的儿童分泌性中耳炎临床资料完整患者36例(63耳), 按手术方式分为3组, 分别为鼓膜置管、腺样体切除和鼓膜置管+腺样体切除, 分析不同手术方式患儿术后听力康复情况。  结果  术后36例患儿、63耳听力均有提高, 44耳治愈, 19耳改善。行鼓膜置管、腺样体切除或鼓膜置管+腺样体切除3种手术方式, 治愈率差异无统计学意义。  结论  鼓膜置管是分泌性中耳炎的首选外科治疗方法, 腺样体切除和鼓膜置管+腺样体切除治疗在适应证恰当时也有很好的效果, 外科治疗方式的选择需要个体化。

Surgical Treatment of Otits Media with Effusion in Children

Objective To summarize the effect in the surgical treatment of pediatric otitis media with effusion(OME).Methods The clinical data of 36 pediatric cases of OME who were hospitalized in our department from January 2009 to September 2011 were retrospectively analyzed.Patients were divided into 3 groups:ventilation tube placement,adenoidectomy,and ventilation tube placement+adenoidectomy.Results The conditions were improved in all 36 patients (63 ears),among which 44 ears were completely cured and 19 improved.Patients were treated with different surgical procedures including ventilation tube placement,adenoidectomy,and ventilation tube placement+adenoidectomy,and the outcomes showed no significant difference.Conclusions Ventilation tube placement is the preferred surgical treatment for OME.Adenoidectomy and adenoidectomy + ventilation tube placement also show good effectiveness.Surgical treatment for pediatric OME should be individualized.