儿童分泌性中耳炎临床分析

目的探讨儿童分泌性中耳炎的临床特点及不同治疗方案的治疗效果。方法回顾性分析50例患者的临床资料，收集资料完整的听力学检查结果20例做治疗前后的对比。结果儿童渗出性中耳炎易反复发作，本组患儿每年发作2次以上者26例（52．0％）。但该病也表现一定的自限性。鼓膜穿刺或置管并同时切除增殖体病变后，患儿听力显著提高（P〈0．05）。结论鼓膜穿刺治疗有效，但对反复发作顽固性渗出性中耳炎患儿应行鼓膜置管，时间应当保留6个月以上；并积极处理增殖体病变。

Clinical analysis to secretory otitis media in children

Objective To investigate the characteristic of secretory otitis media(SOM)in children and to evaluate therapeutic efficacy of different treatment plans.Methods Fifty cases were analysed retrospectively.To summarize 20 clinical cases with complete audiology manifestations for contrasting between prior and post treatment.Results SOM is recurrent frequently in children,there were 26 children with SOM more than twice(52.0%) in this group.But this disease appeared some self-limited.Acouesthesia of children with disease has great elevation(P<0.05)after myringotomy and tube placement and resecting adenoids simultaneously.Conclusion Auripuncture is valid,but it should to myringotomy and tube placement in recurrent and refractory secretory otitis media in children,the time for dwelling catheter should be more than 6 months,adenoids should be deal with more actively.