腺样体、扁桃体切除术治疗儿童顽固性分泌性中耳炎的疗效分析

目的:探讨腺样体、扁桃体切除术对儿童顽固性分泌性中耳炎(OME)的疗效。方法:对我院102例166耳保守治疗反复发作的顽固性OME患儿,经常规专科检查、鼻腔鼻窦CT检查确诊为腺样体肥大或(和)扁桃体肥大,行腺样体或腺样体+扁桃体切除术。并于术后随访过程中进行常规电耳镜检查及听力学检测,并结合症状改善情况对其进行疗效评估。结果:经6-12个月随访,治愈134耳(80.7%),有效21耳(12.7%),无效11耳(6.6%),总有效率为93.4%。结论:腺样体切除或腺样体+扁桃体切除术是治疗儿童顽固性OME的一种有效治疗手段。

Outcomes of Stubborn Otitis Media with Effusion of Children After Adenotonsillectomy

Objective: To investigate the effects of adenoidectomy and tonsillectomy in the treatment of stubborn otitis media with effusion(OME).Methods: The treatment of adenoidectomy or adenoidectomy & tonsillectomy was adopted in 102 patients(166 ears) diagnosed as stubborn adenoidal hypertrophy or(and) hypertrophy of tonsil by the specialized examination and nasal sinus conventional CT.Electric auriscope,audiologic examinations,and clinical observations were adopted to evaluate the outcomes after operation.Results: After follow up for 6 to 12 months,134 ears were healed(80.7%),21 ears were effective(12.7%),11 ears were ineffective(6.6%),and the total effective rate was 93.4%.Conclusion: Adenoidectomy or adenoidectomy & tonsillectomy are effective in treating the stubborn otitis media with effusion of children.