儿童与成人慢性化脓性中耳炎的临床分析

目的:探讨儿童与成人慢性化脓性中耳炎(CSOM)在病程、临床特征、手术等方面的异同。方法:对85例(118耳)成人和66例(81耳)儿童CSOM患者术前临床资料及手术病变范围、听骨损坏程度等方面进行对比分析。结果:儿童组并发症的发生率较成人组高,耳源性颅内并发症少见;病变以外耳道肉芽多见,中耳病变范围较成人组广,肉芽与胆脂瘤混合,听小骨损坏程度较成人组重。结论:儿童CSOM较成人并发症多,病变范围较广泛,听骨破坏重,手术方式选择以彻底清除病变为主要目的,在此前提下尽可能重建听力。

Clinical analysis of chronic suppurative otitis media in adults and children

Objective:To explore the differences and common features between adults and children with chronic suppurative otitis media in the course of disease, clinical characteristics and operation.Method:To compare and analyze the clinical information before the operation,the range of lesion and ossicular chain damage in adults group(85 cases)and children group(66 cases).Result:The morbidity of complications in children group was higher than that in adults group,with few intracranial otogenic complications in children group.The granuloma in external acoustic meatus was common in children group. The range of lesion in children group fixed with granuloma and cholesteatoma was more extensive than that in adults group.The complications in children group were more than those in adults group.Conclusion:There are more complications and more extensive lesion in children patients than those in adults patients with chronic suppurative otitis media.The operation of clearing lesion and retaining or reconstructing hearing are regarded as the first choice in the children patients.