不同方法治疗儿童不同程度分泌性中耳炎的疗效观察

目的分析采用不同方法治疗儿童不同程度分泌性中耳炎的临床疗效,为临床治疗儿童不同程度的分泌性中耳炎提供参考依据。方法不伴腺样体肥大儿童患者20例为A组,伴腺样体肥大且单纯声导抗测试异常40例为B组,伴腺样体肥大且声导抗测试异常且伴有听力损失患儿20例为C组。A组患儿采用鼓膜置管术治疗,B组采用腺样体切除术治疗,C组患儿采用腺样体切除术和鼓膜置管术联合治疗。术后3个月内所有患者服用抗生素预防感染,6个月后观察治疗效果。结果 3组患儿经手术后症状均好转,与术前比较各频率气导听阈明显下降（P〈0.05）;C组患儿术后并发症高于A、B两组。结论采用不同方法治疗儿童不同程度的分泌性中耳炎有助于提高治疗效果,医生要注意使用不同手术方法,减少术后并发症。

Observation Effect of Different Treatments on Different Degree of Secretory Media Otitis in Children

Objective To analyze the clinical curative effect of using different methods in treatment of different degrees of secretory media otitis in children,to provide the reference for the clinical treatment of different degrees of secretory media otitis in children. Methods 20 children without adenoidal hypertrophy were in group A,40 patients with adenoid hypertrophy and simple acoustic immittancetest abnormal were in group B,20 children of adenoid hypertrophy and acoustic immittance testabnormalities with hearing loss were in the C group;group A were treated with grommet insertiontherapy,group B with adenoidectomy treatment,group C with grommet insertiontherapy,combined with adenoidectomy. All patients were treated with antibiotics after operation in 3 months with observation of the therapeutic effect after 6 months. Results 3 patients were relieved after operation,and the frequency of gas comparison of preoperative conduction threshold significantly decreased（ P〈0. 05）; complications in patients in group C were higher than A and B two groups. Conclusion The usage of different methods in treatment of different degrees of secretory media otitis in children is helpful to improve the therapeutic effect; the doctors should pay attention to the use of different methods in operation to reduce the postoperative complication.