儿童与成人分泌性中耳炎临床特征比较

目的 探讨儿童与成人分泌性中耳炎的临床特征的异同.方法 回顾性分析我科2004年3月～2006年3月诊治的84例(104耳)儿童和41例(53耳)成人分泌性中耳炎患者的临床资料,比较其病因、病程、首发症状和听力受损特征的异同.结果 儿童分泌性中耳炎患者平均病程较成人短,病因以腺样体肥大和上呼吸道感染为主,首诊原因多为耳痛,其次为听力下降;成人患者病程较长,病因以慢性鼻窦炎鼻息肉和鼻咽部新生物为主,首诊原因多为听力下降,其次为耳闷.儿童与成人患者都可出现骨导听阈提高,以2、4、8 kHz为主.结论 儿童与成人分泌性中耳炎患者在病因、病程及首发症状等方面有所不同,且儿童患者可造成言语语言发育迟缓,应及早诊治.

Characteristics of secretory otitis media in children and adults

OBJECTIVE To investigate the difference in characteristics of secretory otitis media (SOM) between children and adults. METHODS The clinical data of 125 patients with SOM from Mar. 2004 to Mar. 2006 were retrospectively studied. There were 84 adult cases (104 ears) and 41 children cases (53 ears). RESULTS The duration of SOM in children was longer than that in adults. In children cases,the predominant causes were adenoid vegetation and infection of upper airway,and the chief complaint was ear pain. While in adults,the predominant causes were chronic sinusitis,nasal polyps and nasopharyngeal tumors and the chief complaint was hearing loss. The bone conduction hearing loss in 2,4 and 8 kHz were found in some adults and children. CONCLUSION There are difference in characteristics of SOM between adults and children cases.